Provider Demographics
NPI:1982437174
Name:JOEL WILLIAM COUNSELING LLC
Entity type:Organization
Organization Name:JOEL WILLIAM COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:KERN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:574-213-2331
Mailing Address - Street 1:2318 NATURE VIEW CT
Mailing Address - Street 2:
Mailing Address - City:GOSHEN
Mailing Address - State:IN
Mailing Address - Zip Code:46526-1557
Mailing Address - Country:US
Mailing Address - Phone:574-213-2331
Mailing Address - Fax:574-406-7397
Practice Address - Street 1:302 S MAIN ST
Practice Address - Street 2:
Practice Address - City:GOSHEN
Practice Address - State:IN
Practice Address - Zip Code:46526-3725
Practice Address - Country:US
Practice Address - Phone:574-213-2331
Practice Address - Fax:574-406-7397
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-22
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty