Provider Demographics
NPI:1780408617
Name:HELLER, MINDY (LMFTA)
Entity type:Individual
Prefix:MRS
First Name:MINDY
Middle Name:
Last Name:HELLER
Suffix:
Gender:F
Credentials:LMFTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48 N EMERSON AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46143-6450
Mailing Address - Country:US
Mailing Address - Phone:317-300-4730
Mailing Address - Fax:
Practice Address - Street 1:48 N EMERSON AVE STE 300
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46143-6450
Practice Address - Country:US
Practice Address - Phone:317-300-4730
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-07
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN85000486A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist