Provider Demographics
NPI:1578271136
Name:VIEL, CHRISTELE MONIQUE
Entity Type:Individual
Prefix:
First Name:CHRISTELE
Middle Name:MONIQUE
Last Name:VIEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6200 GAYNOR RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:WEST HARRISON
Mailing Address - State:IN
Mailing Address - Zip Code:47060-8793
Mailing Address - Country:US
Mailing Address - Phone:812-537-3467
Mailing Address - Fax:
Practice Address - Street 1:6200 GAYNOR RIDGE RD
Practice Address - Street 2:
Practice Address - City:WEST HARRISON
Practice Address - State:IN
Practice Address - Zip Code:47060-8793
Practice Address - Country:US
Practice Address - Phone:513-374-6131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-11
Last Update Date:2022-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN87001699A101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)