Individual
TALISHA MARIE ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3640 CARROLLTON AVE, INDIANAPOLIS, IN 46205-3542
(317) 599-2128
Mailing address
3640 CARROLLTON AVE, INDIANAPOLIS, IN 46205-3542
(317) 599-2128
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
171400000X
Health & Wellness Coach
—
—
221700000X
Art Therapist
—
—
Other
Enumeration date
01/03/2023
Last updated
07/01/2025
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