Healthcare Provider Details

I. General information

NPI: 1366172942
Provider Name (Legal Business Name): BEST LIFE COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2022
Last Update Date: 01/10/2023
Certification Date: 01/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9511 DELEGATES ROW
INDIANAPOLIS IN
46240-3807
US

IV. Provider business mailing address

11807 ALLISONVILLE RD STE 164
FISHERS IN
46038-2313
US

V. Phone/Fax

Practice location:
  • Phone: 317-741-7334
  • Fax:
Mailing address:
  • Phone: 317-741-7334
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: DR. CATHERINE A WELSH
Title or Position: PRESIDENT/CEO
Credential: PHD, LCSW
Phone: 317-741-7334