Individual
ANGEL RENEE BUMPHUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1634 E MINNESOTA ST, INDIANAPOLIS, IN 46203-2842
(317) 993-2473
Mailing address
1634 E MINNESOTA ST, INDIANAPOLIS, IN 46203-2842
(317) 993-2473
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/25/2019
Last updated
05/21/2025
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