Organization
AMY DIVINCENZO LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY DIVINCENZO LCSW (OWNER)
(317) 252-3575
Entity
Organization
Contact information
Practice address
1328 LAWRENCE AVE, INDIANAPOLIS, IN 46227-3749
(317) 252-3575
(463) 271-7784
Mailing address
1328 LAWRENCE AVE, INDIANAPOLIS, IN 46227-3749
(317) 252-3575
(463) 271-7784
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/23/2023
Last updated
02/23/2023
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