Organization
ACCENTUS HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON SHAKE (CEO/OWNER)
(317) 474-2150
Entity
Organization
Contact information
Practice address
5128 E STOP 11 RD STE 34, INDIANAPOLIS, IN 46237-6338
(317) 721-4169
Mailing address
5128 E STOP 11 RD STE 34, INDIANAPOLIS, IN 46237-6338
(317) 721-4169
(463) 777-5840
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
06/07/2022
Last updated
08/24/2023
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