NPIMap

Organization Active NPI

Aquarian Ministry LTD Spiritualist Church of Integrative Health

  • Addiction Psychiatry Physician
  • Terre Haute, IN
National Provider Identifier
1780480822
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Psychiatry PhysicianTaxonomy code 2084P0802X
Legal business name
AQUARIAN MINISTRY LTD SPIRITUALIST CHURCH OF INTEGRATIVE HEALTH
Practice address
Grace Clinic
620 8TH Ave
Terre Haute, IN 47804
Phone
(812) 231-8350
NPI assigned
Feb 20, 2025
Last updated
Feb 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Authorized official

Name
Dr. Terese A Poling, MDNPI 1700691714
Title
Doctor of Medicine
Phone
(317) 907-4198

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Psychiatry Physician 2084P0802X Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X

Addresses

Primary practice location

Grace Clinic
620 8TH Ave
Terre Haute, IN 47804

Mailing address

858 N Lasalle St
Indianapolis, IN 46201-2556
Phone (317) 907-4198

Other names 1

  • Aquarian Ministry Ltd Spiritualist Church Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1740009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740009600000",
    "number": "1780480822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "858 N LASALLE ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462012556",
            "telephone_number": "317-907-4198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GRACE CLINIC",
            "address_2": "620 8TH AVE",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "47804",
            "telephone_number": "812-231-8350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AQUARIAN MINISTRY LTD SPIRITUALIST CHURCH OF INTEGRATIVE HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-20",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-13",
        "status": "A",
        "authorized_official_last_name": "POLING",
        "authorized_official_first_name": "TERESE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR OF MEDICINE",
        "authorized_official_telephone_number": "317-907-4198",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aquarian Ministry Ltd Spiritualist Church",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Terre Haute, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; 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.