Provider Demographics
NPI:1831287754
Name:FAMILY ENRICHMENT CENTER, INC.
Entity Type:Organization
Organization Name:FAMILY ENRICHMENT CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LOVADA
Authorized Official - Middle Name:
Authorized Official - Last Name:MERRIWEATHER
Authorized Official - Suffix:
Authorized Official - Credentials:MSW,LCSW
Authorized Official - Phone:317-202-0540
Mailing Address - Street 1:2021 E 52ND ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46205-1486
Mailing Address - Country:US
Mailing Address - Phone:317-202-0540
Mailing Address - Fax:317-202-0311
Practice Address - Street 1:2021 E 52ND ST
Practice Address - Street 2:SUITE 100
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46205-1486
Practice Address - Country:US
Practice Address - Phone:317-202-0540
Practice Address - Fax:317-202-0311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34001098A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty