Provider Demographics
NPI:1578105532
Name:WHITEWATER COUNSELING, LLC
Entity Type:Organization
Organization Name:WHITEWATER COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:STRIEGLER
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:765-575-4232
Mailing Address - Street 1:13075 STATE ROAD 1
Mailing Address - Street 2:
Mailing Address - City:BROOKVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47012-8702
Mailing Address - Country:US
Mailing Address - Phone:765-575-4232
Mailing Address - Fax:
Practice Address - Street 1:440 MAIN ST
Practice Address - Street 2:
Practice Address - City:BROOKVILLE
Practice Address - State:IN
Practice Address - Zip Code:47012-1406
Practice Address - Country:US
Practice Address - Phone:765-575-4232
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-11
Last Update Date:2019-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty