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Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANGELA RENAE WEAVER LMHC (OWNER/THERAPIST)
(317) 603-6658
Entity
Organization

Contact information

Practice address
8525 SARASOTA CT, INDIANAPOLIS, IN 46219-2531
(317) 603-6658
Mailing address
8525 SARASOTA CT, INDIANAPOLIS, IN 46219-2531
(317) 603-6658

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
343900000X
Non-emergency Medical Transport (VAN)

Other

Enumeration date
04/06/2017
Last updated
04/12/2017
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