Organization
IRVINGTON COUNSELING COLLECTIVE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN HALL LCSW (PRESIDENT)
(812) 320-4534
Entity
Organization
Contact information
Practice address
203 GOOD AVE, INDIANAPOLIS, IN 46219-7210
(812) 320-4534
Mailing address
203 GOOD AVE, INDIANAPOLIS, IN 46219-7210
(812) 320-4534
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
Other
Enumeration date
03/16/2020
Last updated
01/21/2025
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