Provider Demographics
NPI:1427840792
Name:MARY SLOWIAK COUNSELING LLC
Entity type:Organization
Organization Name:MARY SLOWIAK COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:SLOWIAK
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:574-440-0283
Mailing Address - Street 1:53332 OAKTON DR
Mailing Address - Street 2:
Mailing Address - City:SOUTH BEND
Mailing Address - State:IN
Mailing Address - Zip Code:46635-1394
Mailing Address - Country:US
Mailing Address - Phone:574-440-0283
Mailing Address - Fax:
Practice Address - Street 1:53332 OAKTON DR
Practice Address - Street 2:
Practice Address - City:SOUTH BEND
Practice Address - State:IN
Practice Address - Zip Code:46635-1394
Practice Address - Country:US
Practice Address - Phone:574-440-0283
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-21
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty