Healthcare Provider Details

I. General information

NPI: 1760985659
Provider Name (Legal Business Name): VAAL COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2018
Last Update Date: 10/04/2022
Certification Date: 10/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9693 HIGHVIEW LN
MCCORDSVILLE IN
46055-0178
US

IV. Provider business mailing address

9693 HIGHVIEW LN
MCCORDSVILLE IN
46055-0178
US

V. Phone/Fax

Practice location:
  • Phone: 812-453-4202
  • Fax: 812-289-6201
Mailing address:
  • Phone: 812-453-4202
  • Fax: 812-289-6201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: JOSHUA G VAAL
Title or Position: PRESIDENT
Credential: LCSW
Phone: 812-453-4202