Organization
THE MENTAL HEALTH SPA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYDARIA LASHON COOKE MBA, MSW, LCSW (OWNER)
(317) 619-9485
Entity
Organization
Contact information
Practice address
1311 W 96TH ST STE 175, INDIANAPOLIS, IN 46260-1339
(317) 619-9485
Mailing address
7909 PRESERVATION DR, INDIANAPOLIS, IN 46278-9553
(317) 619-9485
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/18/2024
Last updated
07/24/2024
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