Provider Demographics
NPI:1629940572
Name:TINSLEY, ELVERY N (LMHCA)
Entity type:Individual
Prefix:
First Name:ELVERY
Middle Name:N
Last Name:TINSLEY
Suffix:
Gender:F
Credentials:LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1311 W 96TH ST STE 265
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46260-1344
Mailing Address - Country:US
Mailing Address - Phone:317-288-0640
Mailing Address - Fax:
Practice Address - Street 1:1311 W 96TH ST STE 265
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46260-1344
Practice Address - Country:US
Practice Address - Phone:317-288-0640
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-20
Last Update Date:2025-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN99125549A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health