| NPI | 1568719854 |
|---|---|
| Former Legal Business Name | WEST CLAY COUNSELING, LLC |
| Entity Type | Organization |
| Authorized Contact | LYNDA LAWRENCE BLACKWELDER Managing Member 317-513-6181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IN 35001642A) |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2013-08-03 |