Provider Demographics
NPI:1568925154
Name:INNER-HEART CIRCLE, LLC
Entity Type:Organization
Organization Name:INNER-HEART CIRCLE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:HALIMA
Authorized Official - Middle Name:
Authorized Official - Last Name:AL-KHATTAB
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, PMHNP
Authorized Official - Phone:317-427-3444
Mailing Address - Street 1:11659 SINCLAIR DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46235-6030
Mailing Address - Country:US
Mailing Address - Phone:317-427-3444
Mailing Address - Fax:
Practice Address - Street 1:11659 SINCLAIR DR
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46235-6030
Practice Address - Country:US
Practice Address - Phone:317-721-4271
Practice Address - Fax:888-251-1412
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-10
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health