| Nova Counseling Alternatives Llc | |
|
1941 E Spring St New Albany IN 47150-1658 | |
| (812) 206-3291 | |
| (812) 206-3296 |
| Full Name | Nova Counseling Alternatives Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1941 E Spring St, New Albany, Indiana |
| Authorized Official Name and Position | Selena B. Wisman (OWNER) |
| Authorized Official Contact | 8122063291 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nova Counseling Alternatives Llc Po Box 413 New Albany IN 47151-0413 Ph: (812) 206-3291 | Nova Counseling Alternatives Llc 1941 E Spring St New Albany IN 47150-1658 Ph: (812) 206-3291 |
| NPI Number | 1972710481 |
|---|---|
| Provider Enumeration Date | 05/16/2007 |
| Last Update Date | 12/19/2014 |
| Medicare PECOS PAC ID | 8527280106 |
|---|---|
| Medicare Enrollment ID | O20141114001799 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972710481 | NPI | - | NPPES |
| 11459548 | Other | IN | WENDY CAQH |
| 11608101 | Other | CAQH E. HATFIELD | |
| 1477559334 | Other | NPI WENDY WILLIS | |
| 11459226 | Other | CAQH S. WISMAN | |
| 1316944432 | Other | NPI SELENA WISMAN | |
| IN2168 | Other | IN | MEDICARE PTAN |
| 1467459446 | Other | NPI-ELENA HATFIELD |
| Provider Name | Wendy I Willis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477559334 PECOS PAC ID: 5597987172 Enrollment ID: I20141117000056 |
| Provider Name | Elena H Hatfield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467459446 PECOS PAC ID: 6305866260 Enrollment ID: I20141117000679 |
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