# ENRICHING LIVES ORGANIZATION

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

## Provider details

- **NPI number:** 1538672365
- **Authorized official:** JANET GRINSTEAD (OWNER)
- **Authorized official phone:** (404) 956-7529

## Contact information

- **Practice address:** 1775 N SHERMAN DR STE A, INDIANAPOLIS, IN 46218-4493
- **Practice address phone:** (404) 956-7529
- **Mailing address:** 4325 BLACK OAK DR, INDIANAPOLIS, IN 46228-3109
- **Mailing address phone:** (404) 956-7529

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 101Y00000X | Counselor | — | — | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 87001214A | IN | Yes |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |

## Other

- **Enumeration date:** 11/15/2017
- **Last updated:** 06/24/2019