Provider Demographics
NPI:1699083535
Name:WELLHOUSE COUNSELING, LLC
Entity type:Organization
Organization Name:WELLHOUSE COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INDIVIDUAL & FAMILY COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JULIETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC, LMHC, NBCC
Authorized Official - Phone:509-723-9610
Mailing Address - Street 1:703 W 7TH AVE
Mailing Address - Street 2:SUITE 120
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99204-2806
Mailing Address - Country:US
Mailing Address - Phone:509-723-9610
Mailing Address - Fax:
Practice Address - Street 1:703 W 7TH AVE
Practice Address - Street 2:SUITE 120
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-2806
Practice Address - Country:US
Practice Address - Phone:509-723-9610
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-14
Last Update Date:2010-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X, 106H00000X
WALH 00004256101YM0800X
IDLCPC-4443101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty