MEDICARE: HEALING WITH CONVICTION LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1649901554
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALING WITH CONVICTION LLC

Provider Business Mailing Address
First Line	:	55 S STATE AVE STE 3113
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46201-3802
Country	:	US
Telephone Number	:	847-560-5685
Fax Number	:

Provider Business Practice Location Address
First Line	:	55 S STATE AVE STE 3113
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46201-3802
Country	:	US
Telephone Number	:	847-560-5685
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CARI MONTGOMERY
Credential	:
Telephone Number	:	847-650-5685

Provider Enumeration Date	:	06/21/2022
Last Update Date	:	06/21/2022

Similar Medicare Providers

1790827541 — DR. LAURENCE DEAUBREY DAVIS D.D.S
Practice Location Address:

55 S STATE AVE , SUITE 3G2
INDIANAPOLIS, IN
46201-3802

Practice Phone: 317-972-7889
Practice Fax:

1588832372 — CHEF FOR HIRE, INC
Practice Location Address:

55 S STATE AVE STE 133
INDIANAPOLIS, IN
46201-3802

Practice Phone: 317-637-0845
Practice Fax: 888-215-3764

1447598032 — BILLY RAY BUSH
Practice Location Address:

55 S STATE AVE , SUITE 302
INDIANAPOLIS, IN
46201-3802

Practice Phone: 903-742-6120
Practice Fax:

1639546070 — INDIANAPOLIS INTEGRATIVE HEALTH AND REHABILITATION INC
Practice Location Address:

55 S STATE AVE , SUITE 201
INDIANAPOLIS, IN
46201-3802

Practice Phone: 317-638-3111
Practice Fax: 317-672-7540

1891224028 — DR. MARK VAUGHN DDS
Practice Location Address:

55 S STATE AVE
INDIANAPOLIS, IN
46201-3802

Practice Phone: 317-412-2170
Practice Fax:

1265063622 — TRACEY WILLIAMS
Practice Location Address:

55 S STATE AVE
INDIANAPOLIS, IN
46201-3802

Practice Phone: 317-937-5732
Practice Fax:

1013501675 — PATRICE PADRON ADMINISTRATOR
Practice Location Address:

55 S STATE AVE STE 210
INDIANAPOLIS, IN
46201-3802

Practice Phone: 317-682-7394
Practice Fax:

Directions to “HEALING WITH CONVICTION LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.