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Individual

STACEY GROVES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
7 E HENDRICKS ST, SHELBYVILLE, IN 46176-2124
(317) 392-2564
(317) 392-9545
Mailing address
6626 E 75TH STREET, SUITE 500, INDIANAPOLIS, IN 46250-2890
(317) 621-7561
(317) 355-6096

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
87000981A
IN
106H00000X
Marriage & Family Therapist
Primary
35001558
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000841160
ANTHEM BCBS
IN
Enumeration date
05/05/2006
Last updated
03/11/2014
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