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LISA DAVIS PECK
NPI 1134572308
Counselor - Addiction (Substance Use Disorder) in Indianapolis, IN

Active since July 22, 2016
6644 GREENDALE LN, INDIANAPOLIS, IN 46241(317) 919-8482 Get Directions Write a Review

NPPES record last updated: July 22, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisa Davis Peck NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA DAVIS PECK (NPI 1134572308) is a healthcare organization registered as an addiction (substance use disorder) in Indianapolis, Indiana and active in the NPI registry since July 2016. The organization lists Lisa Marcella Davis Peck, Owner President, as its authorized official.

NPPES Registry Identity

NPI1134572308
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NameLISA DAVIS PECK
Location Address6644 GREENDALE LNIndianapolis, IN 46241-1068
Mailing Address6644 Greendale LnIndianapolis, IN 46241-1068 · (317) 919-8482
Phone(317) 919-8482
Organization SubpartNo
Authorized OfficialLisa Marcella Davis PeckOwner President · (317) 919-8482
Enumeration DateJuly 22, 2016
✔ NPI 1134572308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed · 87001460A
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 39001382A (IN)
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 35001131A (IN)
6644 GREENDALE LN, Indianapolis, IN 46241
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Davis Peck's NPI number?

The NPI number for Lisa Davis Peck is 1134572308. It was assigned to this organization in the NPPES registry on July 22, 2016.

Where is Lisa Davis Peck located?

Lisa Davis Peck is located at 6644 Greendale Ln, Indianapolis, IN 46241. The listed phone number is (317) 919-8482.

What is Lisa Davis Peck's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Lisa Davis Peck was last updated on July 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.