MAKE IT LAST 4-EVER CLINICAL FAMILY SERVICES (NPI# 1235369034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235369034 |
| Entity Type | Organization |
| Organization Name | MAKE IT LAST 4-EVER CLINICAL FAMILY SERVICES |
| Practice Address |
120 E Market St Ste 460 Indianapolis IN 46204-3282 |
| Practice Telephone | 3177244719 |
| Mailing Telephone | 3177244719 |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2009-07-15 |
| Authorized Official Name | MRS. SHERRI LUANNE KELLEY (CEO/EXECUTIVE DIRECTOR OF OPERATION) |
| Authorized Official Telephone | 3177244719 |
| Authorized Official Credential | BA,MA,MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
01033547 | IN | Behavioral Health & Social Service Providers |
| Street Address |
120 E MARKET ST STE 460 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46204-3282 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992936223 | Abba Fathers Creations Corp | Counselor | 120 E Market St Ste 460, Indianapolis, IN 46204-3282 | 2009-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982245593 | Melvin Jay Prince | Internal Medicine | Gennesaret Free Clinic 615 N Alabama St, Suite 136, Indianapolis, IN 46204 | 2019-10-04 |
| 1487203139 | Elizabeth Ann Wilson | Behavior Technician | 120 N East St Ste 1233, Indianapolis, IN 46204 | 2019-09-05 |
| 1225691207 | Kawthar Mohamed | Student in an Organized Health Care Education/Training Program | 120 W Michigan St # Cl630, Indianapolis, IN 46204 | 2019-04-16 |
| 1457853962 | Tracie Lynn King | Physical Therapy Assistant | 500 N Capitol Ave Unit A, Indianapolis, IN 46204 | 2018-03-01 |
| 1013436831 | Kayla Michelle Jackson | Social Worker | 1099 North Meridian Street, Suite 900, Indianapolis, IN 46204 | 2017-09-13 |
| 1912434010 | Latrice N Baxter | Counselor | 201 N. Illinois Street, 16th Floor, South Tower, Indianpolis, IN 46204 | 2017-05-19 |
| 1750820643 | Jcpl, LLC | Optometrist | 751 Massachusetts Ave, Indianapolis, IN 46204 | 2017-02-13 |
| 1922546969 | Makenzie Brinker | Specialist/Technologist | 800 N. Capital Ave, 420, Indianapolis, IN 46204 | 2017-02-10 |
| 1598118572 | Jennifer Clark | Internal Medicine | 1120 W. Michigan Street Gatch Hall Cl 630, Indianapolis, IN 46204 | 2016-07-14 |
| 1194176263 | Bradley Cox | Dentist | 451 E Market St Apt 448, Indianapolis, IN 46204 | 2016-06-29 |
| Find all providers in zip 46204 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477116986 | Angela M Fisher | Counselor | 5109 N College Ave, Indianapolis, IN 46205-1135 | 2019-04-19 |
| 1043728447 | Reginald Johnson | Counselor | 7024 Woodside Dr, Indianapolis, IN 46260-3979 | 2018-01-19 |
| 1730613035 | Stacey Frye | Counselor | 646 Jefferson Ave, Indianapolis, IN 46201-2032 | 2017-04-13 |
| 1902255011 | Kenneth Lee Cox | Counselor | 4133 Ruckle St, Indianapolis, IN 46205-2720 | 2016-06-09 |
| 1326409129 | Fieldwork Services LLC | Counselor | 55 S State Ave Ste 373, Indianapolis, IN 46201-3898 | 2016-03-08 |
| 1235509027 | Angela Weaver | Counselor | 8525 Sarasota Ct, Indianapolis, IN 46219-2531 | 2015-10-06 |
| 1326461252 | Shobha Pais | Counselor | 8443 Crown Point Rd, Indianapolis, IN 46278-9702 | 2014-01-29 |
| 1326369547 | Barbara E Reed | Counselor | 7845 Harshaw Dr, Indianapolis, IN 46239-8588 | 2010-06-22 |
| 1942442645 | Shirley Ann Hudson | Counselor | 3401 N Meridian St, Suite 176, Indianapolis, IN 46208-4436 | 2009-03-27 |
| 1942461520 | Donna Merritt | Counselor | 1310 Kings Cove Ct, Indianapolis, IN 46260-1671 | 2008-06-17 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46204 |
Please comment or provide details below to improve the information on MAKE IT LAST 4-EVER CLINICAL FAMILY SERVICES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.