Provider Demographics
NPI:1326387523
Name:COUNSELING PARTNERS LLC
Entity Type:Organization
Organization Name:COUNSELING PARTNERS LLC
Other - Org Name:COUNSELING PARTNERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:VIVIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LEUCK
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:765-427-6756
Mailing Address - Street 1:115 FARABEE DR N
Mailing Address - Street 2:SUITE B2
Mailing Address - City:LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47905-5913
Mailing Address - Country:US
Mailing Address - Phone:765-427-6756
Mailing Address - Fax:765-423-5600
Practice Address - Street 1:115 FARABEE DR N
Practice Address - Street 2:SUITE B2
Practice Address - City:LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47905-5913
Practice Address - Country:US
Practice Address - Phone:765-427-6756
Practice Address - Fax:765-423-5600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-07
Last Update Date:2013-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder