Provider Demographics
NPI:1699470658
Name:UNBROKEN, LLC
Entity type:Organization
Organization Name:UNBROKEN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW
Authorized Official - Prefix:MS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:BENT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-979-5479
Mailing Address - Street 1:1518 VALDARNO DR
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46143-0018
Mailing Address - Country:US
Mailing Address - Phone:317-979-5479
Mailing Address - Fax:317-870-1703
Practice Address - Street 1:1518 VALDARNO DR
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46143-0018
Practice Address - Country:US
Practice Address - Phone:317-979-5479
Practice Address - Fax:317-870-1703
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-31
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty