Organization
SALLY KENNEDY MA LMHC LMFT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SARAH KENNEDY MA LMHC LMFT (OWNER)
(317) 345-4065
Entity
Organization
Contact information
Practice address
921 E 86TH ST, INDIANAPOLIS, IN 46240-1859
(317) 345-4065
Mailing address
921 E 86TH ST, INDIANAPOLIS, IN 46240-1859
(317) 345-4065
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
39001905A
IN
Other
Enumeration date
06/07/2011
Last updated
06/07/2011
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