Organization
COPING AND HEALING BEHAVIORAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLY JO NIBBS (OWNER)
(317) 545-4202
Entity
Organization
Contact information
Practice address
6919 E. 10TH STREET, SUITE C-1, INDIANAPOLIS, IN 46219-4811
(317) 545-4202
(317) 545-4059
Mailing address
6919 E 10TH ST, C-1, INDIANAPOLIS, IN 46219-4893
(317) 545-4202
(317) 545-4059
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TA0700X
Adult Development & Aging Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0000X
Family Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
10/10/2011
Last updated
10/10/2011
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