Provider Demographics
NPI:1750530846
Name:RGW COUNSELING LLC
Entity type:Organization
Organization Name:RGW COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:
Authorized Official - Last Name:WOJCIECHOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:219-980-3802
Mailing Address - Street 1:1750 W 61ST PL
Mailing Address - Street 2:
Mailing Address - City:MERRILLVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46410-2327
Mailing Address - Country:US
Mailing Address - Phone:219-980-3802
Mailing Address - Fax:219-980-2877
Practice Address - Street 1:3680 179TH ST
Practice Address - Street 2:SUITE F
Practice Address - City:HAMMOND
Practice Address - State:IN
Practice Address - Zip Code:46323-3033
Practice Address - Country:US
Practice Address - Phone:219-670-7180
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-12
Last Update Date:2008-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39001889A251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health