Provider Demographics
NPI:1376013623
Name:EMOTIONAL WELLNESS COUNSELING, LLC.
Entity Type:Organization
Organization Name:EMOTIONAL WELLNESS COUNSELING, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:HUBBARD
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, CAADC, CCDP-D
Authorized Official - Phone:302-865-8098
Mailing Address - Street 1:818 WILLIAMSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:DE
Mailing Address - Zip Code:19954-2619
Mailing Address - Country:US
Mailing Address - Phone:302-865-8098
Mailing Address - Fax:302-865-8099
Practice Address - Street 1:818 WILLIAMSVILLE RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:DE
Practice Address - Zip Code:19954-2619
Practice Address - Country:US
Practice Address - Phone:302-865-8098
Practice Address - Fax:302-865-8099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-29
Last Update Date:2020-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE1568734234Medicaid