person
Tatanisha Crumble
Child Mental Illness Respite Care in Indianapolis, Indiana
NPI 1548900194

Tatanisha Crumble is a Child Mental Illness Respite Care based in Indianapolis, IN and is specialized in Respite Care, Mental Illness, Child. Tatanisha Crumble practices in Indianapolis, IN. The NPI Number for Tatanisha Crumble is 1548900194 and holds a License No. (Indiana).

The current practice location address for Tatanisha Crumble is 623 Slate Dr Apt B, Indianapolis, IN and can be reached out via phone at 317-238-0294.

Location: 623 Slate Dr Apt B, Indianapolis, IN, 46227-5086
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Provider Profile Details
NPI Number
1548900194
Provider Name
Tatanisha Crumble
Credential
Provider Entity Type
Individual
Gender
Female
Address
623 Slate Dr Apt B, Indianapolis, IN, 46227-5086
Phone Number
317-238-0294
Fax Number
Provider Enumeration Date
03/31/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00000000 05 IN
institution
Provider Business Practice Location Address Details
Address
623 Slate Dr Apt B
City
State
Zip
46227-5086
Phone Number
317-238-0294
Fax Number
person
Provider Business Mailing Address Details
Address
623 Slate Dr Apt B
City
State
Zip
46227-5086
Phone Number
317-238-0294
Fax Number
person
Provider's Taxonomy Details 1
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Mental Illness, Child
Taxonomy
License No.
()
Definition
A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers.
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