Individual provider · Type 1 NPI

Raven Thacker

Mental Health Counselor · Indianapolis, IN

NPI number 1457080350 Active

Practice location

3039 N Post Rd
Indianapolis, IN 46226-6543

Call (317) 908-8876 Map

Mailing address

7423 Marin Pkwy
Indianapolis, IN 46229-1480

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X39004211A (IN)

Mental Health Counselor: Definition to come...

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About NPI 1457080350

Raven Thacker's National Provider Identifier is 1457080350, issued on Jun 7, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Indianapolis, IN. The record was last updated on Jun 16, 2026.