Organization
HEALING SELF THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHAEL BAIN (OWNER)
(317) 238-0709
Entity
Organization
Contact information
Practice address
9165 OTIS AVE STE 216, INDIANAPOLIS, IN 46216-2316
(317) 868-1979
Mailing address
6328 E 52ND PL, INDIANAPOLIS, IN 46226-1642
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300044689
—
IN
Enumeration date
09/09/2021
Last updated
09/09/2021
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