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SOUTHERN INDIANA THERAPEUTICS, LLC
NPI 1679182174
Clinic/Center - Adolescent and Children Mental Health in Starlight, IN

Active since July 30, 2020
2819 ENGLE RD, STARLIGHT, IN 47106(502) 817-1385 Get Directions Write a Review

NPPES record last updated: May 20, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 20, 2021, Jul 30, 2020 (2 updates tracked since 2020).

About Southern Indiana Therapeutics, Llc NPPES

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

SOUTHERN INDIANA THERAPEUTICS, LLC (NPI 1679182174) is a healthcare organization registered as an adolescent and children mental health in Starlight, Indiana and active in the NPI registry since July 2020. The organization lists Marissa Hancock, Owner, as its authorized official.

NPPES Registry Identity

NPI1679182174
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameSOUTHERN INDIANA THERAPEUTICS, LLC
Location Address2819 ENGLE RDStarlight, IN 47106-8423
Mailing Address2819 Engle RdStarlight, IN 47106-8423 · (502) 817-1385
Phone(502) 817-1385
Organization SubpartNo
Authorized OfficialMarissa HancockOwner · (502) 817-1385
Enumeration DateJuly 30, 2020
Last NPPES UpdateMay 20, 20212 updates tracked since enumeration
NPPES CertifiedMay 20, 2021
✔ NPI 1679182174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
2819 ENGLE RD, Starlight, IN 47106
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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 Southern Indiana Therapeutics, LLC's NPI number?

The NPI number for Southern Indiana Therapeutics, LLC is 1679182174. It was assigned to this organization in the NPPES registry on July 30, 2020.

Where is Southern Indiana Therapeutics, LLC located?

Southern Indiana Therapeutics, LLC is located at 2819 Engle Rd, Starlight, IN 47106. The listed phone number is (502) 817-1385.

What is Southern Indiana Therapeutics, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Southern Indiana Therapeutics, LLC was last updated on May 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.