Richardson, Ava

Richardson, Ava is an individual health care provider with primary practice located at 4072 Sawyer St , Indianapolis IN 46226-4953. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Nursing Service Related Providers / Homemaker, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Richardson, Ava can be contacted via phone (317) 607-3812.

Contact Information

Primary practice address
4072 Sawyer St Indianapolis IN 46226-4953
Phone: (317) 607-3812
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X
Nursing Service Related Providers / Homemaker 376J00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1154983583
LBN Legal business name Richardson, Ava
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2019
Last updated Nov 30th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1154983583 NPPES
Indiana MEDICAID 46-1441860-

Popular Providers