Individual
MELISSA HEATHER ATLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
6801 GRAY RD STE D, INDIANAPOLIS, IN 46237-3238
(317) 771-2140
Mailing address
6801 GRAY RD STE D, INDIANAPOLIS, IN 46237-3238
(317) 771-2140
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
34005995A
IN
101YA0400X
Addiction (Substance Use Disorder) Counselor
87000057A
IN
1041C0700X
Clinical Social Worker
Primary
34005995A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300020658
—
IN
Enumeration date
05/04/2010
Last updated
09/26/2023
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