Provider Demographics
NPI:1740397959
Name:SOSTRE, ABBY ALANNA (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:ABBY
Middle Name:ALANNA
Last Name:SOSTRE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MISS
Other - First Name:ABBY
Other - Middle Name:ALANNA
Other - Last Name:MCCONNELL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA
Mailing Address - Street 1:240 N TILLOTSON AVE
Mailing Address - Street 2:
Mailing Address - City:MUNCIE
Mailing Address - State:IN
Mailing Address - Zip Code:47304-3988
Mailing Address - Country:US
Mailing Address - Phone:765-288-1928
Mailing Address - Fax:765-741-0335
Practice Address - Street 1:2506 WILLOWBROOK PKWY
Practice Address - Street 2:SUITE 102
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46205-1564
Practice Address - Country:US
Practice Address - Phone:765-288-1928
Practice Address - Fax:317-217-1769
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF50554106H00000X
IN35001862A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist