Mellindy Lichelle Gregory, LCSW
Social Worker, Clinical in Indianapolis, IN. Individual provider (NPI-1).
NPI number1891454591
StatusActive
Last updated in NPPESDec 10, 2021
Details
- NPI
- 1891454591
- Entity type
- Individual (NPI-1)
- Name
- Mellindy Lichelle Gregory
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 10, 2021
- Certification date
- Dec 10, 2021
- Last updated
- Dec 10, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 99108026A | IN | Yes |
Practice location
1481 W 10th StIndianapolis, IN 46202-2803
Phone 317-370-5548
Mailing address
1481 W 10th StIndianapolis, IN 46202-2803
Phone 317-370-5548
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