Provider Demographics
NPI:1891250411
Name:EIGHT-TWO COUNSELING LLC
Entity type:Organization
Organization Name:EIGHT-TWO COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND BEHAVIORAL HEALTH PROVIDE
Authorized Official - Prefix:
Authorized Official - First Name:FELIX
Authorized Official - Middle Name:HOLLIS
Authorized Official - Last Name:MCGEE
Authorized Official - Suffix:II
Authorized Official - Credentials:LBSW
Authorized Official - Phone:317-893-8505
Mailing Address - Street 1:4360 W 38TH ST STE 7A
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46254-3310
Mailing Address - Country:US
Mailing Address - Phone:317-893-8605
Mailing Address - Fax:
Practice Address - Street 1:4360 W 38TH ST STE 7A
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46254-3310
Practice Address - Country:US
Practice Address - Phone:
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-07
Last Update Date:2019-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health