| Restoring Wellness Counseling, Llc | |
|
110 E Market St Ste 204 New Albany IN 47150-3410 | |
| (812) 786-1445 | |
| Not Available |
| Full Name | Restoring Wellness Counseling, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 110 E Market St Ste 204, New Albany, Indiana |
| Authorized Official Name and Position | Melissa Konijeti (OWNER) |
| Authorized Official Contact | 8127861445 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Restoring Wellness Counseling, Llc 305 Wooded Valley Dr New Albany IN 47150-5128 Ph: (812) 786-1445 | Restoring Wellness Counseling, Llc 110 E Market St Ste 204 New Albany IN 47150-3410 Ph: (812) 786-1445 |
| NPI Number | 1760268973 |
|---|---|
| Provider Enumeration Date | 09/04/2023 |
| Last Update Date | 09/04/2023 |
| Certification Date | 09/04/2023 |
| Medicare PECOS PAC ID | 0648626697 |
|---|---|
| Medicare Enrollment ID | O20231026002791 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760268973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Melissa Konijeti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235747965 PECOS PAC ID: 1355716531 Enrollment ID: I20230403000421 |
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