Healthcare Provider Details

I. General information

NPI: 1366363624
Provider Name (Legal Business Name): RIVER FALLS COUNSELING & INTEGRATED WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 PEARL ST STE 202
NEW ALBANY IN
47150-3451
US

IV. Provider business mailing address

400 PEARL ST STE 202
NEW ALBANY IN
47150-3451
US

V. Phone/Fax

Practice location:
  • Phone: 502-345-7201
  • Fax:
Mailing address:
  • Phone: 502-381-9860
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MRS. JESSICA VANDER ESPT
Title or Position: MEMBER
Credential: LMHC
Phone: 502-345-7201