Organization
EXPERIENCE, STRENGTH, HOPE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICHELLE M LEAVELL (CEO)
(317) 409-1108
Entity
Organization
Contact information
Practice address
4954 E 56TH ST STE 8, INDIANAPOLIS, IN 46220-5769
(317) 683-0051
Mailing address
4954 E 56TH ST STE 8, INDIANAPOLIS, IN 46220-5769
(317) 409-1108
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/24/2019
Last updated
02/01/2019
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