OrganizationActive
Southern Indiana Therapeutics, LLC
NPI 1679182174 · Adolescent and Children Mental Health Clinic/Center · Starlight, IN
Provider details
- NPI number
- 1679182174
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Marissa Hancock, Owner(502) 817-1385
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
Practice location
2819 Engle Rd
Starlight, IN 47106-8423
Phone: (502) 817-1385
Approximate (ZIP-level) locationGet directions
Mailing address
2819 Engle Rd
Starlight, IN 47106-8423
Registry dates
- Enumerated
- 2020-07-30
- Last updated
- 2021-05-20
- Certified
- 2021-05-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.