| Pathway To Equanimity, Llc | |
|
3905 Vincennes Rd Ten Fortune Park, Suite 303 Indianapolis IN 46268-3026 | |
| (317) 471-3522 | |
| (317) 471-3508 |
| Full Name | Pathway To Equanimity, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3905 Vincennes Rd, Indianapolis, Indiana |
| Authorized Official Name and Position | Unchana Thamasak (OPERATING MANAGER) |
| Authorized Official Contact | 3173712373 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathway To Equanimity, Llc 3905 Vincennes Rd Ten Fortune Park, Suite 303 Indianapolis IN 46268-3026 Ph: (317) 471-3522 | Pathway To Equanimity, Llc 3905 Vincennes Rd Ten Fortune Park, Suite 303 Indianapolis IN 46268-3026 Ph: (317) 471-3522 |
| NPI Number | 1093019812 |
|---|---|
| Provider Enumeration Date | 01/08/2011 |
| Last Update Date | 01/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093019812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 39000112A (Indiana) | Primary |
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