Organization
NOVA COUNSELING ALTERNATIVES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SELENA B. WISMAN LMFT (OWNER)
(812) 206-3291
Entity
Organization
Contact information
Practice address
1941 E SPRING ST, NEW ALBANY, IN 47150-1658
(812) 206-3291
(812) 206-3296
Mailing address
PO BOX 413, NEW ALBANY, IN 47151-0413
(812) 206-3291
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
1042
KY
1041C0700X
Clinical Social Worker
34003588A
IN
1041C0700X
Clinical Social Worker
34004562A
IN
106H00000X
Marriage & Family Therapist
Primary
35001423A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11459226
CAQH S. WISMAN
—
01
—
11459548
WENDY CAQH
IN
01
—
11608101
CAQH E. HATFIELD
—
01
—
1316944432
NPI SELENA WISMAN
—
01
—
1467459446
NPI-ELENA HATFIELD
—
01
—
1477559334
NPI WENDY WILLIS
—
01
—
IN2168
MEDICARE PTAN
IN
Enumeration date
05/16/2007
Last updated
12/19/2014
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