Provider Demographics
NPI:1811203409
Name:CRIM, FLORA (MA, LMFT, LCAC)
Entity Type:Individual
Prefix:
First Name:FLORA
Middle Name:
Last Name:CRIM
Suffix:
Gender:F
Credentials:MA, LMFT, LCAC
Other - Prefix:
Other - First Name:FLORA
Other - Middle Name:
Other - Last Name:CHANDLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3815 RIVER CROSSING PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46240-7766
Mailing Address - Country:US
Mailing Address - Phone:172-140-8633
Mailing Address - Fax:317-792-5037
Practice Address - Street 1:3815 RIVER CROSSING PKWY STE 100
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46240-7766
Practice Address - Country:US
Practice Address - Phone:172-140-8633
Practice Address - Fax:317-792-5037
Is Sole Proprietor?:No
Enumeration Date:2010-08-20
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN35001733A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist