Provider Demographics
NPI:1386457273
Name:NORTHWEST INDIANA COUNSELING, LLC
Entity type:Organization
Organization Name:NORTHWEST INDIANA COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DILOSA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:219-381-5770
Mailing Address - Street 1:6904 73RD AVE
Mailing Address - Street 2:
Mailing Address - City:SCHERERVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46375-3515
Mailing Address - Country:US
Mailing Address - Phone:219-381-5770
Mailing Address - Fax:
Practice Address - Street 1:6904 73RD AVE
Practice Address - Street 2:
Practice Address - City:SCHERERVILLE
Practice Address - State:IN
Practice Address - Zip Code:46375-3515
Practice Address - Country:US
Practice Address - Phone:219-381-5770
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty