Organization
LUNAR OASIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH EVERETT LMFT, CSAYC (DIRECTOR)
(317) 679-4181
Entity
Organization
Contact information
Practice address
5401 S EAST ST STE 207, INDIANAPOLIS, IN 46227-2092
(317) 679-4181
Mailing address
6360 AVALON BLVD, AVON, IN 46123-9706
(317) 679-4181
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
35001938A
IN
Other
Enumeration date
02/27/2018
Last updated
02/27/2018
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