# IRVIN FAMILY THERAPY

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

## Provider details

- **NPI number:** 1225435639
- **Authorized official:** MRS. MELISSA IRVIN MA, LMFT (OWNER)
- **Authorized official phone:** (317) 332-6500

## Contact information

- **Practice address:** 10 S 9TH ST, SUITE 12, NOBLESVILLE, IN 46060-2630
- **Practice address phone:** (317) 332-6500
- **Mailing address:** 10 S 9TH ST, SUITE 12, NOBLESVILLE, IN 46060-2630

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 35001851A | IN | Yes |

## Other

- **Enumeration date:** 12/01/2014
- **Last updated:** 04/04/2017