Provider Demographics
NPI:1265217418
Name:SALT COUNSELING SOLUTIONS
Entity type:Organization
Organization Name:SALT COUNSELING SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW, CPHT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KYRA
Authorized Official - Middle Name:E
Authorized Official - Last Name:CONTRERAS
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW, CPHT
Authorized Official - Phone:317-408-5696
Mailing Address - Street 1:4684 ALLEN DR
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46033-9387
Mailing Address - Country:US
Mailing Address - Phone:317-408-5696
Mailing Address - Fax:
Practice Address - Street 1:4684 ALLEN DRIVE
Practice Address - Street 2:CARMEL
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46033
Practice Address - Country:US
Practice Address - Phone:317-408-5696
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-28
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty