Organization
LIVING WELL THERAPIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEIRDRE BURTON LMFTA, OTR, BCC (LICENSED MARRIAGE & FAMILY THERAPY)
(317) 496-5484
Entity
Organization
Contact information
Practice address
1050 W 42ND ST, INDIANAPOLIS, IN 46208-3301
(317) 496-5484
Mailing address
PO BOX 53373, INDIANAPOLIS, IN 46253-0373
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
85000105A
IN
Other
Enumeration date
04/17/2013
Last updated
04/17/2013
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