| Doctor Name: | CAMISHE R NUNLEY |
| NPI Number: | 1003090960 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMHC |
| License Number: | 39001942A |
| Business Practice Address: | 5502 East 16th Street Suite A 31 Indianapolis, IN - 462184942 |
| Business Phone Number: | 3173551800 |
| Business Fax Number: | |
| Mailing Address: | 8180 Clearvista Parkway, Suite 230 Attn Sherry Mueller INDIANAPOLIS |
| State: | IN |
| Postal Code: | 462564649 |
| Phone Number: | 3176217561 |
| Fax Number: | 3176217470 |
| NPI Enumeration Date: | 12/27/2007 |
| NPI Last Update Date: | 07/21/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 39001942A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |