Make It Last 4-Ever Clinical Family Services

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

01033547 Issued in IN

Legal business name

MAKE IT LAST 4-EVER CLINICAL FAMILY SERVICES

Practice address

120 E Market St Ste 460
Indianapolis, IN 46204-3282

Phone

(317) 724-4719

NPI assigned

Jul 15, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Sherri Luanne Kelley, BA,MA,MS

Title

Ceo/Executive Director of Operation

Phone

(317) 724-4719

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247616000000",
    "number": "1235369034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E MARKET ST STE 460",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462043282",
            "telephone_number": "317-724-4719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E MARKET ST STE 460",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462043282",
            "telephone_number": "317-724-4719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAKE IT LAST 4-EVER CLINICAL FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-15",
        "last_updated": "2009-07-15",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_middle_name": "LUANNE",
        "authorized_official_title_or_position": "CEO/EXECUTIVE DIRECTOR OF OPERATION",
        "authorized_official_telephone_number": "317-724-4719",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BA,MA,MS"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "IN",
            "license": "01033547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Professional Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.