Search › Indiana › 101YA0400X
Beverly Mack-Martin, CADAC IV, LCAC
NPI 1932543188 · on the registry since 2013
Practice
- Address
- 3171 N Meridian St
Indianapolis, IN 46208 - Phone
- (317) 941-5010
- Fax
- (317) 931-5140
- Organisation at this address
- Midtown Community Mental Health Clinic
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 85
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 101YA0400X
101YA0400X - Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-04-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana