Organization
PHD MENTORING SERVICES, LLC
Active
Other names
PHD Mentoring Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLARENCE MARTIN JR. (OWNER/AUTHORIZED OFFICIAL)
(317) 667-8409
Entity
Organization
Contact information
Practice address
8218 ST CLIFFORD CT, INDIANAPOLIS, IN 46239-8996
(317) 667-8409
Mailing address
8218 ST CLIFFORD CT, INDIANAPOLIS, IN 46239-8996
(317) 667-8409
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/08/2021
Last updated
12/08/2021
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