| Blue River Counseling & Wellness, Llc | |
|
2177 Intelliplex Dr Ste 221 Shelbyville IN 46176-8583 | |
| (317) 207-1830 | |
| Not Available |
| Full Name | Blue River Counseling & Wellness, Llc |
|---|---|
| Speciality | Counselor |
| Location | 2177 Intelliplex Dr Ste 221, Shelbyville, Indiana |
| Authorized Official Name and Position | Alyssa Botte (OWNER & LICENSED MENTAL HEALTH COUN) |
| Authorized Official Contact | 3172071830 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue River Counseling & Wellness, Llc Po Box 926 Shelbyville IN 46176-0926 Ph: (317) 207-1830 | Blue River Counseling & Wellness, Llc 2177 Intelliplex Dr Ste 221 Shelbyville IN 46176-8583 Ph: (317) 207-1830 |
| NPI Number | 1639949951 |
|---|---|
| Provider Enumeration Date | 01/08/2024 |
| Last Update Date | 11/06/2024 |
| Certification Date | 11/06/2024 |
| Medicare PECOS PAC ID | 1355874199 |
|---|---|
| Medicare Enrollment ID | O20241031001821 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639949951 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Alyssa Szymanski Botte |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144731977 PECOS PAC ID: 7618316282 Enrollment ID: I20240415003990 |
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