Kelly Nadine Soforic in Indianapolis - Mental Health
Kelly Nadine Soforic - NPI 1033236385
Kelly Nadine Soforic is a Mental Health in Indianapolis, Indiana. Kelly Nadine Soforic practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Kelly Nadine Soforic is 1033236385. The last update date is 2021-12-29.
Kelly Nadine Soforic's current location address is 6626 E 75th Street, Indianapolis, Indiana. You can contact this provider via phone number 3176217561 and fax number 3173556096. The mailing address for Kelly Nadine Soforic is 6626 E 75th Street, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Nadine Soforic |
|---|---|
| Address | 6626 E 75th Street, Indianapolis, Indiana |
| Phone Number | 3176217561 |
| Fax Number | 3173556096 |
| Sole Proprietor | N |
| Credentials | LMHC |
NPI Number Detail
| NPI Number | 1033236385 |
|---|---|
| Provider Enumeration Date | 2007-03-23 |
| Last Updated Date | 2021-12-29 |
Provider Mailing Address Detail
| Address | 6626 E 75th Street |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 462502890 |
| Phone Number | 3176217561 |
| Fax Number | 3173556096 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 39000080A |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 864011 | IN | ANTHEM | |
| 164067 | IN | VALUE OPTIONS |
Post Comment/ Review Below
What is the Kelly Nadine Soforic's 1033236385?
The Kelly Nadine Soforic's NPI (National Provider Identifier) Number is 1033236385. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Kelly Nadine Soforic's facilities are geographically located?
The facilities of Kelly Nadine Soforic are physically situated at the following location: 6626 E 75Th Street, Indianapolis, IN, 462502890.
What is the Kelly Nadine Soforic's area of specialization and corresponding taxonomy classification?
The Kelly Nadine Soforic's specialty field is Mental Health, and it falls under the taxonomy code 101Ym0800X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1033236385 to Kelly Nadine Soforic?
The Kelly Nadine Soforic received its 1033236385 assignment from the Centers for Medicare & Medicaid Services on 2007-03-23.
When was the information regarding Kelly Nadine Soforic, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kelly Nadine Soforic, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-12-29.
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN