Organization
MINDFUL SERVICES CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KURT A MOEHLE PHD (MEMBER)
(317) 450-1942
Entity
Organization
Contact information
Practice address
9002 N MERIDIAN ST, STE 200, INDIANAPOLIS, IN 46260
(317) 450-1942
(317) 732-5832
Mailing address
1629 W 79TH ST, INDIANAPOLIS, IN 46260-5232
(317) 450-1942
(317) 732-5832
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
20040055A
IN
Other
Enumeration date
03/01/2018
Last updated
03/01/2018
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