Provider Demographics
NPI:1871618082
Name:REHABILITATION OPTIONS OF INDIANA
Entity type:Organization
Organization Name:REHABILITATION OPTIONS OF INDIANA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOREY
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW
Authorized Official - Phone:317-887-1213
Mailing Address - Street 1:360 S MADISON AVE
Mailing Address - Street 2:SUITE 205
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46142-3150
Mailing Address - Country:US
Mailing Address - Phone:317-887-1213
Mailing Address - Fax:317-887-1312
Practice Address - Street 1:360 S MADISON AVE
Practice Address - Street 2:205
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46142-3150
Practice Address - Country:US
Practice Address - Phone:317-887-1213
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2009-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34000962A1041C0700X
IN35000499A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty