Organization
BE AUTHENTIC INDY LLC
Active
Other names
Ellie Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
TARA ENGLAND (OWNER)
(646) 241-6260
Entity
Organization
Contact information
Practice address
8606 ALLISONVILLE RD STE 120, INDIANAPOLIS, IN 46250-3585
(317) 548-8895
(317) 663-2524
Mailing address
11005 THUNDERBIRD DR, CARMEL, IN 46032-7912
(646) 241-6260
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/08/2022
Last updated
03/20/2025
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