A Conscious Change Counseling and Wellness Center, LLC
Organization Active NPI Community/Behavioral Health Agency · Indianaplis, IN
NPI 1346815909 · NPPES record last updated May 25, 2021
Key facts
- NPI
- 1346815909
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- A CONSCIOUS CHANGE COUNSELING AND WELLNESS CENTER, LLC
- Practice address
- 201 N. Illinois Street
16TH Floor, South Tower
Indianaplis, IN 46204 - Phone
- (317) 395-3716
- NPI assigned
- May 25, 2021
- Organization subpart
- No
Authorized official
- Name
- Latrice Baxter, MA, LMHC, LPC
- Title
- Owner/Therapist
- Phone
- (317) 395-3716
Practitioners 1
-
Latrice N Baxter, LMHC
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
201 N. Illinois Street
16TH Floor, South Tower
Indianaplis, IN 46204
Mailing address
201 N. Illinois Street
16TH Floor, South Tower
Indianaplis, IN 46204
Phone (317) 395-3716
Other providers in Indianaplis, IN
All providers in Indianaplis, IN · Community/Behavioral Health Agency in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 25, 2021. 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.