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KENYETTA NEAL LCAC
NPI 1164943056
Counselor - Addiction (Substance Use Disorder) in Indianapolis, IN

Active since June 29, 2017
1811 EXECUTIVE DR, INDIANAPOLIS, IN 46241(317) 735-2046 Get Directions Write a Review

NPPES record last updated: June 29, 2017. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Kenyetta Neal Lcac NPPES

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

KENYETTA NEAL LCAC (NPI 1164943056) is an individual addiction (substance use disorder) provider in Indianapolis, Indiana, licensed in Indiana (87001500A) and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1164943056
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKENYETTA NEALCredential: LCAC
Location Address1811 EXECUTIVE DRIndianapolis, IN 46241-4300
Mailing Address60 Sycamore StBrownsburg, IN 46112-1802 · (708) 955-9685
Phone(317) 735-2046
Sole ProprietorYes
Enumeration DateJune 29, 2017
✔ NPI 1164943056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in IN · 87001500A
1811 EXECUTIVE DR, Indianapolis, IN 46241
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RHINO CONTRACTOR SERVICES LLC
Durable Medical Equipment & Medical Supplies
1811 EXECUTIVE DR, SUITE H
INDIANAPOLIS, IN 46241
Marion County (317) 991-4892
ACCUSTAT MEDICAL LAB, INC.
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
1811 EXECUTIVE DR, SUITE F
INDIANAPOLIS, IN 46241
Marion County (317) 248-3870

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 Kenyetta Neal's NPI number?

The NPI number for Kenyetta Neal is 1164943056. It was assigned to this individual provider in the NPPES registry on June 29, 2017.

Where is Kenyetta Neal located?

Kenyetta Neal practices at 1811 Executive Dr, Indianapolis, IN 46241. The listed phone number is (317) 735-2046.

What is Kenyetta Neal'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 Kenyetta Neal was last updated on June 29, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.