The Counseling and Wellness House LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

34005437A Issued in IN

Legal business name

THE COUNSELING AND WELLNESS HOUSE LLC

Practice address

1539 E 100 N
Kokomo, IN 46901-3413

Phone

(765) 419-0164

Fax

(765) 457-6844

NPI assigned

Dec 28, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Tara Lee Eytcheson, LCSW

Title

Owner

Phone

(765) 419-0164

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1325030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325030400000",
    "number": "1619246204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1539 E 100 N",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469013413",
            "telephone_number": "765-419-0164",
            "fax_number": "765-457-6844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1539 E 100 N",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469013413",
            "telephone_number": "765-419-0164",
            "fax_number": "765-457-6844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COUNSELING AND WELLNESS HOUSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-28",
        "last_updated": "2011-12-28",
        "status": "A",
        "authorized_official_last_name": "EYTCHESON",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-419-0164",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IN",
            "license": "34005437A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Kokomo, IN
• Providers in Kokomo, IN by specialty
• Community/Behavioral Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.