Basic Information
| Provider Information | |||||||||
| NPI: | 1912654526 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | MASTER'S TOUCH COUNSELING SERVICES. LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 12125 E. 65TH STREET | ||||||||
| Address2: | PO BOX 36006 | ||||||||
| City: | INDIANAPOLIS | ||||||||
| State: | IN | ||||||||
| PostalCode: | 46236 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3174138000 | ||||||||
| FaxNumber: | 3178557668 | ||||||||
| Practice Location | |||||||||
| Address1: | 6467 ROYAL OAKLAND DR | ||||||||
| Address2: | |||||||||
| City: | INDIANAPOLIS | ||||||||
| State: | IN | ||||||||
| PostalCode: | 462364804 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3174138000 | ||||||||
| FaxNumber: | 3178557668 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/03/2022 | ||||||||
| LastUpdateDate: | 03/03/2022 | ||||||||
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| AuthorizedOfficialLastName: | CLEVELAND-MOORE | ||||||||
| AuthorizedOfficialFirstName: | DENISE | ||||||||
| AuthorizedOfficialMiddleName: | COLLEEN | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER/CLINICAL DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 3174138000 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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| AuthorizedOfficialCredential: | MSW, LCSW, LCAC | ||||||||
| NPICertificationDate: | 03/03/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251S00000X | Y | Agencies | Community/Behavioral Health |
No ID Information.