MEDICARE: LINKS 4 SUCCESS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251B00000X	Case Management Agency
2	251K00000X	Public Health or Welfare Agency
3	251S00000X	Community/Behavioral Health Agency
4	251V00000X	Voluntary or Charitable Agency
5	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1609483999
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LINKS 4 SUCCESS INC

Provider Business Mailing Address
First Line	:	973 N SHADELAND AVE # 194
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46219-4809
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6201 LA PAS TRL
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46268-4887
Country	:	US
Telephone Number	:	317-939-3049
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SHELIA B HALL
Credential	:
Telephone Number	:	317-939-3049

Provider Enumeration Date	:	09/30/2020
Last Update Date	:	12/13/2021

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