Provider Demographics
NPI:1639636400
Name:HOUZE COUNSELING, LLC
Entity Type:Organization
Organization Name:HOUZE COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:E
Authorized Official - Last Name:HOUZE
Authorized Official - Suffix:
Authorized Official - Credentials:NCC, LMHC
Authorized Official - Phone:765-250-5981
Mailing Address - Street 1:526 S 26TH ST
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47904-3207
Mailing Address - Country:US
Mailing Address - Phone:765-491-9706
Mailing Address - Fax:
Practice Address - Street 1:25 EXECUTIVE DR STE C
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47905-4880
Practice Address - Country:US
Practice Address - Phone:765-491-9706
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-27
Last Update Date:2019-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN39000811AOtherINDIANA PROFESSIONAL LICENSING AGENCY