Organization
THE COUNSELING AND WELLNESS HOUSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TARA LEE EYTCHESON LCSW (OWNER)
(765) 419-0164
Entity
Organization
Contact information
Practice address
1539 E 100 N, KOKOMO, IN 46901-3413
(765) 419-0164
(765) 457-6844
Mailing address
1539 E 100 N, KOKOMO, IN 46901-3413
(765) 419-0164
(765) 457-6844
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
34005437A
IN
Other
Enumeration date
12/28/2011
Last updated
12/28/2011
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