Individual
MS. ANDREA JO LYNNE ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5415 E 34TH ST STE C, INDIANAPOLIS, IN 46218-2403
(463) 224-0562
Mailing address
5415 E 34TH ST STE C, INDIANAPOLIS, IN 46218-2403
(463) 224-0562
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
IN
101YM0800X
Mental Health Counselor
—
IN
106E00000X
Assistant Behavior Analyst
—
IN
106S00000X
Behavior Technician
—
IN
171M00000X
Case Manager/Care Coordinator
—
IN
172V00000X
Community Health Worker
—
IN
225C00000X
Rehabilitation Counselor
—
IN
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
IN
251S00000X
Community/Behavioral Health Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
IN
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
85-0938219
AT HOME WITH ANGEL EYE'S LLC
IN
Enumeration date
10/03/2022
Last updated
03/17/2025
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