Healthcare Provider Details

I. General information

NPI: 1245134642
Provider Name (Legal Business Name): PILLARS OF WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5005 E STOP 11 RD
INDIANAPOLIS IN
46237-9447
US

IV. Provider business mailing address

326 E US HIGHWAY 30
SCHERERVILLE IN
46375-2654
US

V. Phone/Fax

Practice location:
  • Phone: 219-323-3311
  • Fax: 888-981-2760
Mailing address:
  • Phone: 219-323-3311
  • Fax: 888-981-2765

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL
# 6
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: MARISSA ABBOTT
Title or Position: CHRO
Credential:
Phone: 219-323-3311