Provider Demographics
NPI:1386415883
Name:MENTAL HEALTH AMERICA OF HENDRICKS COUNTY
Entity type:Organization
Organization Name:MENTAL HEALTH AMERICA OF HENDRICKS COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEANA
Authorized Official - Middle Name:
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:CSPS
Authorized Official - Phone:317-272-0027
Mailing Address - Street 1:75 QUEENSWAY DR
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:IN
Mailing Address - Zip Code:46123-9701
Mailing Address - Country:US
Mailing Address - Phone:317-272-0027
Mailing Address - Fax:
Practice Address - Street 1:75 QUEENSWAY DR
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:IN
Practice Address - Zip Code:46123-9701
Practice Address - Country:US
Practice Address - Phone:317-272-0027
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-12
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No172V00000XOther Service ProvidersCommunity Health WorkerGroup - Multi-Specialty
No175T00000XOther Service ProvidersPeer SpecialistGroup - Multi-Specialty