Provider Demographics
NPI:1891405007
Name:TAING, CORY T (MA, NCC, LMHC)
Entity Type:Individual
Prefix:
First Name:CORY
Middle Name:T
Last Name:TAING
Suffix:
Gender:M
Credentials:MA, NCC, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9320 OTIS AVE APT 2113
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46216-2328
Mailing Address - Country:US
Mailing Address - Phone:260-433-2335
Mailing Address - Fax:
Practice Address - Street 1:9320 OTIS AVE APT 2113
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46216-2328
Practice Address - Country:US
Practice Address - Phone:260-433-2335
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-29
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health