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Organization
PATHWAY TO EQUANIMITY, LLC
Active
Organization
PATHWAY TO EQUANIMITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
UNCHANA THAMASAK LMHC, LCAC (OPERATING MANAGER)
(317) 371-2373
Entity
Organization
Contact information
Practice address
3905 VINCENNES RD, TEN FORTUNE PARK, SUITE 303, INDIANAPOLIS, IN 46268-3026
(317) 471-3522
(317) 471-3508
Mailing address
3905 VINCENNES RD, TEN FORTUNE PARK, SUITE 303, INDIANAPOLIS, IN 46268-3026
(317) 471-3522
(317) 471-3508
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39000112A
IN
Other
Enumeration date
01/08/2011
Last updated
01/08/2011
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