Organization
DAVIS MINTUN PROFESSIONAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS GARTH MINTUN LCSW (VICE PRESIDENT)
(317) 578-2122
Entity
Organization
Contact information
Practice address
6801 LAKE PLAZA DR, STE A102, INDIANAPOLIS, IN 46220-4061
(317) 578-2122
(317) 578-3655
Mailing address
6801 LAKE PLAZA DR, STE A102, INDIANAPOLIS, IN 46220-4061
(317) 578-2122
(317) 578-3655
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34001376A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1497794572
INDIVIDUAL NPI NUMBER FOR THOMAS GARTH MINTUN
IN
Enumeration date
12/06/2016
Last updated
12/06/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up