Provider Demographics
NPI:1194227041
Name:THE WELL COUNSELING AND CONSULTING GROUP
Entity Type:Organization
Organization Name:THE WELL COUNSELING AND CONSULTING GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:CLARE
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:317-471-8996
Mailing Address - Street 1:3500 DEPAUW BLVD STE 1050
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46268-6125
Mailing Address - Country:US
Mailing Address - Phone:317-471-8996
Mailing Address - Fax:317-471-8994
Practice Address - Street 1:3500 DEPAUW BLVD STE 1050
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46268-6125
Practice Address - Country:US
Practice Address - Phone:317-471-8996
Practice Address - Fax:317-471-8994
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-07
Last Update Date:2018-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty