Provider Demographics
NPI:1750937280
Name:THRIVEPOINTE INDIANA LLC
Entity type:Organization
Organization Name:THRIVEPOINTE INDIANA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:NOELLE
Authorized Official - Last Name:HENGGE
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LMHC
Authorized Official - Phone:317-969-7999
Mailing Address - Street 1:8604 ALLISONVILLE RD STE 160
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46250-5541
Mailing Address - Country:US
Mailing Address - Phone:833-914-4688
Mailing Address - Fax:
Practice Address - Street 1:8604 ALLISONVILLE RD STE 160
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46250-5541
Practice Address - Country:US
Practice Address - Phone:833-914-4688
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THRIVEPOINTE LTD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-08-12
Last Update Date:2022-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty