Organization
CHILD AND FAMILY WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH EVERETT MA, LMFT (CFO)
(317) 679-4181
Entity
Organization
Contact information
Practice address
6351 S EAST ST STE A, INDIANAPOLIS, IN 46227-7116
(317) 679-4181
Mailing address
6351 S EAST ST STE A, INDIANAPOLIS, IN 46227-7116
(317) 679-4181
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
02/11/2022
Last updated
02/11/2022
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