Organization
SHAPING & EMPOWERING FAMILIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTIE LACOLE COLEMAN-WILSON (DIRECTOR)
(317) 319-1832
Entity
Organization
Contact information
Practice address
10609 E WASHINGTON ST STE E, INDIANAPOLIS, IN 46229-2661
(317) 319-1832
Mailing address
10609 E WASHINGTON ST STE E, INDIANAPOLIS, IN 46229-2661
(317) 319-1832
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
12/19/2014
Last updated
12/17/2019
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