# MISSION HOUSE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215669122
- **Authorized official:** BRIDGETTE OLIVER PARRAN (CEO)
- **Authorized official phone:** (317) 934-0012

## Contact information

- **Practice address:** 11405 LONG LAKE DRIVE, INDIANAPOLIS, IN 46235
- **Practice address phone:** (317) 934-0012
- **Mailing address:** 5868 E 71ST STREET SUITE E \#667, INDIANAPOLIS, IN 46220

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171400000X | Health & Wellness Coach | — | NULL | Yes |
| 171400000X | Health & Wellness Coach | — | — | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | — |
| 171M00000X | Case Manager/Care Coordinator | — | — | — |

## Other

- **Enumeration date:** 06/29/2022
- **Last updated:** 06/29/2022