Healthcare Provider Details

I. General information

NPI: 1588239297
Provider Name (Legal Business Name): ATTUNED LIFE COUNSELING AND CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2021
Last Update Date: 05/25/2021
Certification Date: 05/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 E WASHINGTON ST
MUNCIE IN
47305-1734
US

IV. Provider business mailing address

114 E WASHINGTON ST
MUNCIE IN
47305-1734
US

V. Phone/Fax

Practice location:
  • Phone: 630-470-8637
  • Fax:
Mailing address:
  • Phone:
  • 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 Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: JOHANNA R VOSS
Title or Position: OWNER
Credential: LMHC, LMFT
Phone: 630-470-8637