Individual
MICHELLE LUALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW,LCAC
Contact information
Practice address
912 N DELAWARE ST, INDIANAPOLIS, IN 46202-3348
(217) 660-2848
(317) 660-2848
Mailing address
644 E ARCH ST, INDIANAPOLIS, IN 46202-3461
(317) 294-7100
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34005804
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12626384
CAQH
IN
01
—
34005804A
PROFESSIONAL LICENSE
IN
Enumeration date
01/13/2014
Last updated
03/17/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us