Provider Demographics
NPI:1417355744
Name:SHAPING & EMPOWERING FAMILIES LLC
Entity type:Organization
Organization Name:SHAPING & EMPOWERING FAMILIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTIE
Authorized Official - Middle Name:LACOLE
Authorized Official - Last Name:COLEMAN-WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-319-1832
Mailing Address - Street 1:10609 E WASHINGTON ST STE E
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46229-2661
Mailing Address - Country:US
Mailing Address - Phone:317-319-1832
Mailing Address - Fax:
Practice Address - Street 1:10609 E WASHINGTON ST STE E
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46229-2661
Practice Address - Country:US
Practice Address - Phone:317-319-1832
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-19
Last Update Date:2019-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)