Provider Demographics
NPI:1457052078
Name:INNER BEAUTY PROGRAM, INC.
Entity Type:Organization
Organization Name:INNER BEAUTY PROGRAM, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF LIFE COACHING OPERATION
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:SINIQUAHA
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:MPH
Authorized Official - Phone:317-728-1601
Mailing Address - Street 1:6701 OAKLANDON RD
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46236-3072
Mailing Address - Country:US
Mailing Address - Phone:317-728-1601
Mailing Address - Fax:
Practice Address - Street 1:6701 OAKLANDON RD
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46236-3072
Practice Address - Country:US
Practice Address - Phone:317-728-1601
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-10
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty