Organization
COLLAGE THERAPEUTIC GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN MEADOWS LCSW (OWNER)
(317) 722-0999
Entity
Organization
Contact information
Practice address
6325 GUILFORD AVE STE 206, INDIANAPOLIS, IN 46220-1741
(317) 722-0999
Mailing address
6325 GUILFORD AVE STE 206, INDIANAPOLIS, IN 46220-1741
(317) 722-0999
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/30/2018
Last updated
10/30/2018
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