Organization
COPING AND HEALING BEHAVIORAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLY JO NIBBS (OWNER)
(317) 752-7019
Entity
Organization
Contact information
Practice address
6919 E 10TH ST, SUITE C-1, INDIANAPOLIS, IN 46219-4893
(317) 752-7019
(317) 545-4059
Mailing address
6919 E 10TH ST, SUITE C-1, INDIANAPOLIS, IN 46219-4893
(317) 752-7019
(317) 545-4059
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
05/18/2011
Last updated
09/21/2011
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