Individual
PARIS THREATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2626 E 46TH ST, INDIANAPOLIS, IN 46205-2380
(224) 523-5114
Mailing address
1001 LAMPLIGHT DR, WESTFIELD, IN 46074-1324
(317) 438-4977
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
03/16/2023
Last updated
03/16/2023
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