| NPI | 1336929983 | 
|---|---|
| Doing Business As | IBIS COUNSELING AND CONSULTING PC | 
| Entity Type | Organization | 
| Authorized Contact | MICHAEL VICTOR SMITH Owner 317-674-3277 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health | 
| Enumeration Date | 2023-10-02 | 
| Last Update Date | 2023-10-02 |