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Organization

COUNSELWORX

Active
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Organization

COUNSELWORX

Active
Parent organization
MIKEL KELLY & ASSOCIATES
Other names
Mikel Kelly & Associates
Organization subpart
Yes

Provider details

NPI number
Legal business name
MIKEL KELLY & ASSOCIATES
Authorized official
MR. MIKEL E KELLY M.A., L.M.H.C. (DIRECTOR/PROFESSIONAL COUNSELOR)
(317) 946-3495
Entity
Organization

Contact information

Practice address
1650 GRASSLAND DR, BROWNSBURG, IN 46112-7893
(317) 946-3495
Mailing address
1650 GRASSLAND DR, BROWNSBURG, IN 46112-7893
(317) 946-3495

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
39002195A
IN

Other

Enumeration date
11/25/2015
Last updated
11/25/2015
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