Organization
MY THERAPIST KYLIE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLIE R LOWRY LMFT (DIRECTOR/OWNER)
(260) 667-3672
Entity
Organization
Contact information
Practice address
8465 KEYSTONE CROSSING, SUITE 115 #912, INDIANAPOLIS, IN 46240
(260) 667-3672
Mailing address
PO BOX 455, FREMONT, IN 46737-0455
(260) 667-3672
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/09/2024
Last updated
04/09/2024
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