Provider Demographics
NPI:1932985223
Name:WELL HOUSE COUNSELING
Entity Type:Organization
Organization Name:WELL HOUSE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:BLAIR
Authorized Official - Last Name:ENGLE
Authorized Official - Suffix:
Authorized Official - Credentials:MSSW LCSW LCAC
Authorized Official - Phone:812-325-9357
Mailing Address - Street 1:7251 W STATE ROAD 46
Mailing Address - Street 2:
Mailing Address - City:ELLETTSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47429-1029
Mailing Address - Country:US
Mailing Address - Phone:812-508-8497
Mailing Address - Fax:812-329-5558
Practice Address - Street 1:7251 W STATE ROAD 46
Practice Address - Street 2:
Practice Address - City:ELLETTSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47429-1029
Practice Address - Country:US
Practice Address - Phone:812-508-8497
Practice Address - Fax:812-329-5558
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-04
Last Update Date:2023-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty