Provider Demographics
NPI:1285514273
Name:HENDRIX, BRIANNA (CADAC IV)
Entity type:Individual
Prefix:
First Name:BRIANNA
Middle Name:
Last Name:HENDRIX
Suffix:
Gender:F
Credentials:CADAC IV
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12984 E SHADY MDWS
Mailing Address - Street 2:
Mailing Address - City:SOLSBERRY
Mailing Address - State:IN
Mailing Address - Zip Code:47459-6059
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:12984 E SHADY MDWS
Practice Address - Street 2:
Practice Address - City:SOLSBERRY
Practice Address - State:IN
Practice Address - Zip Code:47459-6059
Practice Address - Country:US
Practice Address - Phone:317-435-2146
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-03
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
INC4-5098101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)