America Bragg

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Indianapolis, IN

NPI 1881910909 · NPPES record last updated Apr 14, 2010

Key facts

NPI
1881910909
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
2626 E 46TH St
Ste J
Indianapolis, IN 46205-2380
Phone
(317) 475-9066
NPI assigned
Apr 14, 2010
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Indianapolis Treatment Center, LLC Addiction (Substance Use Disorder) Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes

Addresses

Primary practice location

2626 E 46TH St
Ste J
Indianapolis, IN 46205-2380

Mailing address

550 N Alton Ave
Indianapolis, IN 46222-3406

Other providers in Indianapolis, IN

All providers in Indianapolis, IN · Addiction (Substance Use Disorder) Counselor in Indiana

Sources for this page

Verify at the official NPI Registry.