| Mystic Soul Counseling And Wellness | |
|
6102 W 177th Ave Lowell IN 46356-1900 | |
| (219) 689-2062 | |
| (219) 689-2062 |
| Full Name | Mystic Soul Counseling And Wellness |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 6102 W 177th Ave, Lowell, Indiana |
| Authorized Official Name and Position | Katherine Lynn Eich (LICENSED MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 2196892062 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mystic Soul Counseling And Wellness 6102 W 177th Ave Lowell IN 46356-1900 Ph: (219) 689-2062 | Mystic Soul Counseling And Wellness 6102 W 177th Ave Lowell IN 46356-1900 Ph: (219) 689-2062 |
| NPI Number | 1356277388 |
|---|---|
| Provider Enumeration Date | 06/18/2026 |
| Last Update Date | 06/18/2026 |
| Certification Date | 06/18/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356277388 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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