# URBAN MINISTRY LLC

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

## Provider details

- **NPI number:** 1578793444
- **Authorized official:** MR. BWANA MKUBWA CLEMENTS MSW (PRESIDENT)
- **Authorized official phone:** (317) 366-5631

## Contact information

- **Practice address:** 717 E 44TH ST, INDIANAPOLIS, IN 46205-1905
- **Practice address phone:** (317) 366-5631
- **Mailing address:** 717 E 44TH ST, INDIANAPOLIS, IN 46205-1905
- **Mailing address phone:** (317) 366-5631

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 07/24/2009
- **Last updated:** 07/24/2009