| Empowered Counseling, Llc | |
|
764 S Deer Run Ellettsville IN 47429-2039 | |
| (812) 606-9026 | |
| Not Available |
| Full Name | Empowered Counseling, Llc |
|---|---|
| Speciality | Counselor |
| Location | 764 S Deer Run, Ellettsville, Indiana |
| Authorized Official Name and Position | Kristin Cummings (OWNER) |
| Authorized Official Contact | 8126069026 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Empowered Counseling, Llc 764 S Deer Run Ellettsville IN 47429-2039 Ph: () - | Empowered Counseling, Llc 764 S Deer Run Ellettsville IN 47429-2039 Ph: (812) 606-9026 |
| NPI Number | 1295460590 |
|---|---|
| Provider Enumeration Date | 07/20/2022 |
| Last Update Date | 07/20/2022 |
| Certification Date | 07/20/2022 |
| Medicare PECOS PAC ID | 7113364613 |
|---|---|
| Medicare Enrollment ID | O20240320000487 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295460590 | NPI | - | NPPES |
| 300047589 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Kristin Grace Cummings |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902459027 PECOS PAC ID: 9931546439 Enrollment ID: I20240320000552 |
Well House Counseling Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 7251 W State Road 46, Ellettsville, IN 47429 Phone: 812-508-8497 Fax: 812-329-5558 |