COURTNEY TERRELL


Address: 1118 N Audubon Rd, Indianapolis, IN 46219-3116
Phone: 3174146909

COURTNEY TERRELL (NPI# 1114549615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114549615
Entity Type Individual
Full Name COURTNEY TERRELL
Practice Address 1118 N Audubon Rd
Indianapolis
IN 46219-3116
Practice Telephone 3174146909
Mailing Telephone 3174146909
Enumeration Date 2020-05-07
Last Update Date 2020-05-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
39003752A IN Behavioral Health & Social Service Providers

Office Location

Street Address 1118 N AUDUBON RD
City INDIANAPOLIS
State IN
Zip Code 46219-3116

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City INDIANAPOLIS
Zip Code 46219

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Dataset Information

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.

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