Provider Demographics
NPI:1508637703
Name:WILLSTONE COUNSELING & CONSULTATION LLC
Entity Type:Organization
Organization Name:WILLSTONE COUNSELING & CONSULTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MAGGIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MILESTONE
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:317-932-0270
Mailing Address - Street 1:1947 E 88TH ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46240-1976
Mailing Address - Country:US
Mailing Address - Phone:317-932-0270
Mailing Address - Fax:
Practice Address - Street 1:4954 E 56TH ST STE 8
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46220-5769
Practice Address - Country:US
Practice Address - Phone:317-932-0270
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-16
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty