| Wells Family Counseling Llc | |
|
257 Indiana Ave Ste D6 Valparaiso IN 46383-6180 | |
| (219) 554-8855 | |
| Not Available |
| Full Name | Wells Family Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 257 Indiana Ave Ste D6, Valparaiso, Indiana |
| Authorized Official Name and Position | Matthew Wells (MANAGER) |
| Authorized Official Contact | 2195548855 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wells Family Counseling Llc 257 Indiana Ave Ste D6 Valparaiso IN 46383-6180 Ph: (219) 554-8855 | Wells Family Counseling Llc 257 Indiana Ave Ste D6 Valparaiso IN 46383-6180 Ph: (219) 554-8855 |
| NPI Number | 1538798509 |
|---|---|
| Provider Enumeration Date | 04/02/2020 |
| Last Update Date | 07/02/2022 |
| Certification Date | 07/02/2022 |
| Medicare PECOS PAC ID | 4284096082 |
|---|---|
| Medicare Enrollment ID | O20230810002104 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538798509 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Josh Robertson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497308035 PECOS PAC ID: 3274949607 Enrollment ID: I20210310001680 |
| Provider Name | Meagan Michele Starkey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346793122 PECOS PAC ID: 8527422252 Enrollment ID: I20230914000970 |
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