Provider Demographics
NPI: | 1952779944 |
---|---|
Name: | EMERGING HEALING AND WELLNESS INC. |
Entity Type: | Organization |
Organization Name: | EMERGING HEALING AND WELLNESS INC. |
Other - Org Name: | ANISA COUNSELING GROUP INC. |
Other - Org Type: | Former Legal Business Name |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | NEELU |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | CHAWLA |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 765-414-7222 |
Mailing Address - Street 1: | 642 EDEN ST |
Mailing Address - Street 2: | |
Mailing Address - City: | WEST LAFAYETTE |
Mailing Address - State: | IN |
Mailing Address - Zip Code: | 47906-1528 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 765-414-7222 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 642 EDEN ST |
Practice Address - Street 2: | |
Practice Address - City: | WEST LAFAYETTE |
Practice Address - State: | IN |
Practice Address - Zip Code: | 47906-1528 |
Practice Address - Country: | US |
Practice Address - Phone: | 765-414-7222 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2015-09-08 |
Last Update Date: | 2020-10-26 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist | Group - Single Specialty |