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Organization

ROSE PROJECT CONSULTING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LYNELL WESTBROOK GATES LMSW (CEO)
(317) 222-5064
Entity
Organization

Contact information

Practice address
1311 N ARLINGTON AVE STE 102, INDIANAPOLIS, IN 46219
(317) 222-5064
Mailing address
1311 N ARLINGTON AVE STE 102, INDIANAPOLIS, IN 46219-3260
(317) 222-5064

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
251S00000X
Community/Behavioral Health Agency
Primary
385H00000X
Respite Care

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300026177
IN
05
300026692
IN
Enumeration date
04/17/2018
Last updated
06/19/2019
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