Provider Demographics
NPI:1205576899
Name:IRELAN, MOLLY MARGARET (LMHC)
Entity type:Individual
Prefix:
First Name:MOLLY
Middle Name:MARGARET
Last Name:IRELAN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20020 TAHOE CIR
Mailing Address - Street 2:
Mailing Address - City:NOBLESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46062-7357
Mailing Address - Country:US
Mailing Address - Phone:317-850-1126
Mailing Address - Fax:
Practice Address - Street 1:9245 N MERIDIAN ST STE 225
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46260-1812
Practice Address - Country:US
Practice Address - Phone:317-818-9000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-31
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN88000818A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health