MEDICARE: GAREUHPIST COUNSELING & CONSULTING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1316804057
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GAREUHPIST COUNSELING & CONSULTING LLC

Provider Business Mailing Address
First Line	:	6817 MINNOW DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46237-5039
Country	:	US
Telephone Number	:	317-513-6361
Fax Number	:

Provider Business Practice Location Address
First Line	:	6817 MINNOW DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46237-5039
Country	:	US
Telephone Number	:	317-513-6361
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	GARY W NELSON
Credential	:	LCSW
Telephone Number	:	317-513-6361

Provider Enumeration Date	:	01/06/2026
Last Update Date	:	01/06/2026

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