Organization
MENTAL HELP PROVIDER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEKO KOKEH MN (AUTHORIZED OFFICIAL)
(317) 529-2372
Entity
Organization
Contact information
Practice address
6640 PARKDALE PL STE V, INDIANAPOLIS, IN 46254-5619
(317) 529-2372
Mailing address
3306 CLARY BLVD SOUTH DR, GREENWOOD, IN 46143-5524
(317) 529-2372
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/16/2024
Last updated
07/30/2024
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