# ADAGIO COUNSELING AND INTERVENTION

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

## Provider details

- **NPI number:** 1437413473
- **Authorized official:** MR. TADD MICHAEL WHALLON LCAC (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (317) 313-0448

## Contact information

- **Practice address:** 515 N GREEN ST, SUITE 402, BROWNSBURG, IN 46112-2421
- **Practice address phone:** (317) 852-3690
- **Practice address fax:** (317) 852-2766
- **Mailing address:** 515 N GREEN ST, SUITE 402, BROWNSBURG, IN 46112-2421
- **Mailing address phone:** (317) 852-3690
- **Mailing address fax:** (317) 852-2766

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 87000325A | IN | Yes |

## Other

- **Enumeration date:** 06/25/2012
- **Last updated:** 06/25/2012
