Organization
THINK WELL LIVE WELL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REBECCA VANDENBURGH LCSW, LCAC (OWNER)
(317) 500-4789
Entity
Organization
Contact information
Practice address
7202 N SHADELAND AVE, INDIANAPOLIS, IN 46250-2086
(317) 500-4789
(949) 561-4566
Mailing address
7202 N SHADELAND AVE, INDIANAPOLIS, IN 46250-2086
(317) 500-4789
(949) 561-4566
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01057144A
LICENSE NUMBER
IN
01
—
34005310A
LICENSE NUMBER
IN
Enumeration date
07/21/2022
Last updated
07/21/2022
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