Modern Day Therapy, Llc

LBN: Modern Day Therapy, Llc
Modern Day Therapy, Llc is an health care organization with primary practice located at 3675 Washington Blvd , Indianapolis IN 46205-3533. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as the primary health care specialty. Modern Day Therapy, Llc can be contacted via phone (317) 908-6063, or through Cooley, Alicia via phone (317) 908-6063.

Contact Information

Primary practice address
3675 Washington Blvd Indianapolis IN 46205-3533
Phone: (317) 908-6063
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cooley, Alicia MSW, LSW
Phone: (317) 908-6063

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 33006192A Indiana

Profile Details

NPI number 1457779092
LBN Legal business name Modern Day Therapy, Llc
DBA Doing business as
Authorized official Cooley, Alicia MSW, LSW
Entity Organization
Organization subpart 1 No
Enumeration date Apr 1st, 2014
Last updated Jun 18th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457779092 NPPES
Indiana MEDICAID 201225250 A

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