# BLUE RIVER COUNSELING & WELLNESS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639949951
- **Authorized official:** ALYSSA BOTTE PHD, LMHC (OWNER & LICENSED MENTAL HEALTH COUN)
- **Authorized official phone:** (317) 207-1830

## Contact information

- **Practice address:** 2177 INTELLIPLEX DR STE 221, SHELBYVILLE, IN 46176-8583
- **Practice address phone:** (317) 207-1830
- **Mailing address:** PO BOX 926, SHELBYVILLE, IN 46176-0926
- **Mailing address phone:** (317) 207-1830

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 01/08/2024
- **Last updated:** 11/06/2024