Durham, Marcia

Durham, Marcia is an sole proprietor health care provider with primary practice located at 5922 Sycamore Forge Ct , Indianapolis IN 46254-1277. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Durham, Marcia can be contacted via phone (317) 340-3833.

Contact Information

Primary practice address
5922 Sycamore Forge Ct Indianapolis IN 46254-1277
Phone: (317) 340-3833
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1023053337
LBN Legal business name Durham, Marcia
Credentials M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 19th, 2006
Last updated Apr 2nd, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023053337 NPPES
Indiana MEDICAID 100270530A

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