Organization
CAPITAL CITY FAMILY EDUCATION SERVICES
Active
Organization
CAPITAL CITY FAMILY EDUCATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DANICA M MCCLENDON LCSW (LICENSED CLINICAL THERAPIST)
(317) 588-6538
Entity
Organization
Contact information
Practice address
8202 CLEARVISTA PKWY, SUITE 6A, INDIANAPOLIS, IN 46256-1400
(317) 588-6538
Mailing address
8202 CLEARVISTA PKWY, SUITE 6A, INDIANAPOLIS, IN 46256-1400
(317) 588-6538
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
34004024-A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13969991
—
IN
Enumeration date
03/01/2017
Last updated
03/01/2017
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