# SYCAMORE FAMILY SERVICES OF INDIANA

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

## Provider details

- **NPI number:** 1699368795
- **Authorized official:** MRS. JACQUELYN ELAINE POWELL LCAC, LMHC (DIRECTOR)
- **Authorized official phone:** (317) 371-1122

## Contact information

- **Practice address:** 3445 W 71ST STREET, INDIANAPOLIS, IN 46268
- **Practice address phone:** (317) 937-1122
- **Mailing address:** 4119 LONGWOOD CT, INDIANAPOLIS, IN 46268
- **Mailing address phone:** (317) 937-1122

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |

## Other

- **Enumeration date:** 02/19/2021
- **Last updated:** 02/19/2021