| A Conscious Change Counseling And Wellness Center, Llc | |
|
201 N. Illinois Street 16th Floor, South Tower Indianaplis IN 46204 | |
| (317) 395-3716 | |
| Not Available |
| Full Name | A Conscious Change Counseling And Wellness Center, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 201 N. Illinois Street, Indianaplis, Indiana |
| Authorized Official Name and Position | Latrice Baxter (OWNER/THERAPIST) |
| Authorized Official Contact | 3173953716 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Conscious Change Counseling And Wellness Center, Llc 201 N. Illinois Street 16th Floor, South Tower Indianaplis IN 46204 Ph: (317) 395-3716 | A Conscious Change Counseling And Wellness Center, Llc 201 N. Illinois Street 16th Floor, South Tower Indianaplis IN 46204 Ph: (317) 395-3716 |
| NPI Number | 1346815909 |
|---|---|
| Provider Enumeration Date | 05/25/2021 |
| Last Update Date | 05/25/2021 |
| Certification Date | 05/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346815909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |