Provider Demographics
NPI:1720439516
Name:CRAIG, ADAM KYLE (MS, LMHC)
Entity Type:Individual
Prefix:MR
First Name:ADAM
Middle Name:KYLE
Last Name:CRAIG
Suffix:
Gender:M
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5610 CRAWFORDSVILLE RD.
Mailing Address - Street 2:SUITE 2201
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46224
Mailing Address - Country:US
Mailing Address - Phone:317-246-4003
Mailing Address - Fax:317-243-2328
Practice Address - Street 1:5610 CRAWFORDSVILLE RD.
Practice Address - Street 2:SUITE 2201
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46224
Practice Address - Country:US
Practice Address - Phone:317-246-4003
Practice Address - Fax:317-243-2328
Is Sole Proprietor?:No
Enumeration Date:2016-06-23
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39002877A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health