Provider Demographics
NPI:1376965228
Name:SOS GROUP LLC
Entity Type:Organization
Organization Name:SOS GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREWS
Authorized Official - Middle Name:
Authorized Official - Last Name:DOLLARD
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:317-770-7070
Mailing Address - Street 1:136 S. 9TH STREET
Mailing Address - Street 2:
Mailing Address - City:NOBLESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46060
Mailing Address - Country:US
Mailing Address - Phone:317-770-7070
Mailing Address - Fax:
Practice Address - Street 1:136 S 9TH ST
Practice Address - Street 2:
Practice Address - City:NOBLESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46060-2614
Practice Address - Country:US
Practice Address - Phone:317-770-7070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-13
Last Update Date:2014-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty