Provider Demographics
NPI:1437029691
Name:EQUILIBRIUM COUNSELING AND CONSULTING, LLC
Entity type:Organization
Organization Name:EQUILIBRIUM COUNSELING AND CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LCSW
Authorized Official - Prefix:
Authorized Official - First Name:GENNA
Authorized Official - Middle Name:
Authorized Official - Last Name:WEISHEIT
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:812-430-8904
Mailing Address - Street 1:1616 POTTERSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:SPENCER
Mailing Address - State:IN
Mailing Address - Zip Code:47460-7489
Mailing Address - Country:US
Mailing Address - Phone:812-430-8904
Mailing Address - Fax:
Practice Address - Street 1:205 N COLLEGE AVE # 9
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:IN
Practice Address - Zip Code:47404-3950
Practice Address - Country:US
Practice Address - Phone:812-727-0619
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-11
Last Update Date:2025-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)