Provider Demographics
NPI:1619225448
Name:PERSONAL COUNSELING LLC
Entity Type:Organization
Organization Name:PERSONAL COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:S
Authorized Official - Last Name:WEESNER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:812-755-4759
Mailing Address - Street 1:3487 S POSSUM HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:CAMPBELLSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:47108-8613
Mailing Address - Country:US
Mailing Address - Phone:812-755-4759
Mailing Address - Fax:812-723-0110
Practice Address - Street 1:202 CHERRY ST
Practice Address - Street 2:
Practice Address - City:PAOLI
Practice Address - State:IN
Practice Address - Zip Code:47454-1108
Practice Address - Country:US
Practice Address - Phone:812-723-0295
Practice Address - Fax:812-723-0110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-28
Last Update Date:2012-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34002457A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty