Organization
MENTAL HEALTH CENTERS OF INDIANA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES ROBERTS (AUTHORIZED)
(513) 939-0300
Entity
Organization
Contact information
Practice address
333 N ALABAMA ST STE 350, INDIANAPOLIS, IN 46204-2275
(513) 939-0300
Mailing address
1251 NILLES RD STE 4, FAIRFIELD, OH 45014-7205
(888) 830-0347
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
03/15/2021
Last updated
03/20/2021
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