Abba Fathers Creations Corp

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

01033547 Issued in IN

Legal business name

ABBA FATHERS CREATIONS CORP

Practice address

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

Phone

(317) 660-2157

Fax

(317) 362-0460

NPI assigned

Aug 4, 2009

Organization subpart

Yes

Parent organization

ABBA FATHERS CREATIONS CORPAs reported in NPPES

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

Phone

(317) 660-2157

Specialties & licenses 1

Addresses

Other names 1

• Make It Last 4Ever Clinical Family Services Management Corp Doing business as

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

{
    "created_epoch": "1249344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249344000000",
    "number": "1992936223",
    "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": "317-660-2157",
            "fax_number": "317-362-0460"
        },
        {
            "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": "317-660-2157",
            "fax_number": "317-362-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABBA FATHERS CREATIONS CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ABBA FATHERS CREATIONS CORP",
        "enumeration_date": "2009-08-04",
        "last_updated": "2009-08-04",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_middle_name": "LUANNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-660-2157",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BA,MA,MS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "01033547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Make It Last 4Ever Clinical Family Services Management Corp",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gada Abadulla
• Florian Abalajon
• Rommel Ebuenga Abalos
• Nancy Eudalia Abarca, MD
• Jacqueline F Abate, PSYD
• Mary K Abbas, PA-C
• Faheem A. Abbasi, MD
• Nadeem Abbasi, MD
• Rania Karam Abbasi, M.D.
• Abbaspour Inc

• All providers in Indianapolis, IN
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.