Provider Demographics
NPI:1447021191
Name:PRECIOUS KARGO INC
Entity type:Organization
Organization Name:PRECIOUS KARGO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CEO
Authorized Official - Prefix:
Authorized Official - First Name:TAMMI
Authorized Official - Middle Name:L
Authorized Official - Last Name:PRINCE-COOPER
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, LCAC, CSAYC
Authorized Official - Phone:318-384-8847
Mailing Address - Street 1:11715 FOX RD STE 400-222
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46236-8421
Mailing Address - Country:US
Mailing Address - Phone:317-384-8847
Mailing Address - Fax:
Practice Address - Street 1:11715 FOX RD STE 400-222
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46236-8421
Practice Address - Country:US
Practice Address - Phone:317-384-8847
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-11
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty