# GIDEON'S GATE MANAGMENT AND TECHNICAL SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gateway Management
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114111788
- **Authorized official:** MS. CAROL Y WOODARD ELDER (PRESIDENT/PASTOR)
- **Authorized official phone:** (317) 664-1600

## Contact information

- **Practice address:** 546 E 17TH ST, INDIANAPOLIS, IN 46202-1702
- **Practice address phone:** (317) 536-1225
- **Mailing address:** PO BOX 44319, INDIANAPOLIS, IN 46244-0319
- **Mailing address phone:** (317) 536-1225

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP1600X | Pastoral Counselor | — | IN | — |
| 103T00000X | Psychologist | 20040411A | IN | — |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |
| 284300000X | Special Hospital | — | IN | — |
| 343900000X | Non-emergency Medical Transport (VAN) | 1638362 | IN | — |
| 347B00000X | Bus | 1638362 | IN | — |
| 347C00000X | Private Vehicle | 1638362 | IN | — |
| 374U00000X | Home Health Aide | — | IN | — |

## Other

- **Enumeration date:** 08/28/2007
- **Last updated:** 09/06/2007