Organization
FOREVER BECOMING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANICKA WORD LMHCA (MANAGER)
(312) 248-4062
Entity
Organization
Contact information
Practice address
1315 LEMANS CT APT 702, INDIANAPOLIS, IN 46205-1211
(312) 248-4062
Mailing address
12125 E 65TH ST, INDIANAPOLIS, IN 46236-4653
(312) 248-4062
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/15/2024
Last updated
05/15/2024
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