Provider Demographics
NPI:1861012114
Name:COUNSELING ARTS & WELLNESS LLC
Entity Type:Organization
Organization Name:COUNSELING ARTS & WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROFESSIONAL CLINICAL COUNSELOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:CHRISTINE
Authorized Official - Last Name:VANDERSCHAAF
Authorized Official - Suffix:
Authorized Official - Credentials:EDD, LCPC, LMHC, NCC
Authorized Official - Phone:407-435-1131
Mailing Address - Street 1:2100 MANCHESTER RD STE 966
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60187-4671
Mailing Address - Country:US
Mailing Address - Phone:407-435-1131
Mailing Address - Fax:
Practice Address - Street 1:2100 MANCHESTER RD STE 966
Practice Address - Street 2:
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60187-4671
Practice Address - Country:US
Practice Address - Phone:407-435-1131
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-16
Last Update Date:2020-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health