Provider Demographics
NPI:1487465316
Name:VANWERT COUNSELING AND WELLNESS
Entity type:Organization
Organization Name:VANWERT COUNSELING AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:VANWERT
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, NCC, MA
Authorized Official - Phone:570-687-2620
Mailing Address - Street 1:41 N MAIN ST STE 307
Mailing Address - Street 2:
Mailing Address - City:CARBONDALE
Mailing Address - State:PA
Mailing Address - Zip Code:18407-2357
Mailing Address - Country:US
Mailing Address - Phone:570-209-9873
Mailing Address - Fax:
Practice Address - Street 1:41 N MAIN ST STE 307
Practice Address - Street 2:
Practice Address - City:CARBONDALE
Practice Address - State:PA
Practice Address - Zip Code:18407-2357
Practice Address - Country:US
Practice Address - Phone:570-209-9873
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-20
Last Update Date:2025-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty