Provider Demographics
NPI:1790151231
Name:S.A.V.Y.,L.L.C. (SUCCESS ACHIEVED WHEN VISIONED BY YOU)
Entity Type:Organization
Organization Name:S.A.V.Y.,L.L.C. (SUCCESS ACHIEVED WHEN VISIONED BY YOU)
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VONZOLLA
Authorized Official - Middle Name:MONIQUE
Authorized Official - Last Name:ELLIOTT
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:504-289-1067
Mailing Address - Street 1:5320 SANDWOOD DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46235-9782
Mailing Address - Country:US
Mailing Address - Phone:504-289-1067
Mailing Address - Fax:
Practice Address - Street 1:5320 SANDWOOD DR
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46235-9782
Practice Address - Country:US
Practice Address - Phone:504-289-1067
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-19
Last Update Date:2018-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010927901041C0700X, 302F00000X, 305R00000X, 305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No302F00000XManaged Care OrganizationsExclusive Provider Organization
No305R00000XManaged Care OrganizationsPreferred Provider Organization
No305S00000XManaged Care OrganizationsPoint of ServiceGroup - Single Specialty