Ah'Nonda Bates, MS, LCAC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Indianapolis, IN
NPI 1174704142 · NPPES record last updated Jul 24, 2018
Key facts
- NPI
- 1174704142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 87001001A (IN)
- Practice address
- 8320 Madison Ave
Indianapolis, IN 46227 - Phone
- (317) 882-5122
- Fax
- (317) 888-8642
- NPI assigned
- Nov 19, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 87001001A | IN | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 87001001A | IN | Yes |
Addresses
Primary practice location
8320 Madison Ave
Indianapolis, IN 46227
Mailing address
5101 E US Highway 36 Ste 100
Avon, IN 46123-6646
Phone (888) 714-1927
Other practice location 1
6655 E US Highway 36
Avon, IN 46123-8923
Phone (888) 714-1927
Other providers in Indianapolis, IN
- Maite Bastyr
- Rohan Basu
- Ashley Batchelor-Nasiri
- Kelly Marie Batchelor
- Christian Pearson Bateman
- Destinee Bates
- Felicia Chism Bates
- Henry Bates
- Jaela Bates
- Rachelle Elizabeth Bates
All providers in Indianapolis, IN · Addiction (Substance Use Disorder) Counselor in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.