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Organization
WISER SOURCE LLC
Active
Organization
WISER SOURCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY WALKER (MANAGING DIRECTOR)
(219) 292-4546
Entity
Organization
Contact information
Practice address
508 E 86TH AVE, MERRILLVILLE, IN 46410-6213
(219) 810-5301
Mailing address
508 E 86TH AVE, MERRILLVILLE, IN 46410-6213
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YS0200X
School Counselor
—
—
103K00000X
Behavior Analyst
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
106S00000X
Behavior Technician
—
—
163W00000X
Registered Nurse
—
—
171400000X
Health & Wellness Coach
—
—
171M00000X
Case Manager/Care Coordinator
—
—
225800000X
Recreation Therapist
—
—
364SP0810X
Child & Family Psychiatric/Mental Health Clinical Nurse Specialist
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
02/07/2025
Last updated
02/07/2025
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