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NPI Code Detail

MEDICARE: MENTAL HEALTH ASSOCIATION OF INDIANA

MEDICARE: MENTAL HEALTH ASSOCIATION OF INDIANA
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
1251S00000XCommunity/Behavioral Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11497030662OTHERINGROUP NPI
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3221700000XOTHERINART THERAPIST
4101YP2500XOTHERINPROFESSIONAL COUNSELOR

General Provider Information

NPI Number : 1841683752
Entity Type Code : Organization
Provider Name (Legal Business Name) : MENTAL HEALTH ASSOCIATION OF INDIANA
Provider Business Mailing Address
First Line : 1431 N. DELAWARE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46202
Country : US
Telephone Number : 317-631-2000
Fax Number : 317-631-2002
Provider Business Practice Location Address
First Line : 1431 N DELAWARE ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46202-2416
Country : US
Telephone Number : 317-631-2000
Fax Number : 317-631-2002
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MS. GLORIA L. HOOD
Credential : LMFT/LSW
Telephone Number : 317-631-2000
Provider Enumeration Date : 03/17/2015
Last Update Date : 03/17/2015

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Directions to “MENTAL HEALTH ASSOCIATION OF INDIANA ” Practice Location

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