Individual
ELIZABETH J HYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
6640 INTECH BLVD, STE 195, INDIANAPOLIS, IN 46278-2011
(317) 295-0608
(317) 295-0622
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
39000329
IN
101YM0800X
Mental Health Counselor
Primary
39000329A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300044726
—
IN
Enumeration date
07/09/2010
Last updated
02/26/2024
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