Provider Demographics
NPI:1679253314
Name:CONTRERAS, KYRA EVA (MSW)
Entity Type:Individual
Prefix:MRS
First Name:KYRA
Middle Name:EVA
Last Name:CONTRERAS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4684 ALLEN DR
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46033-9387
Mailing Address - Country:US
Mailing Address - Phone:317-615-0333
Mailing Address - Fax:
Practice Address - Street 1:4684 ALLEN DR
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46033-9387
Practice Address - Country:US
Practice Address - Phone:317-615-0333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-18
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty