Healthcare Provider Details

I. General information

NPI: 1295657245
Provider Name (Legal Business Name): RAE COUNSELING AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

512 COUNTRY CLUB DR
NEW ALBANY IN
47150-4661
US

IV. Provider business mailing address

512 COUNTRY CLUB DR
NEW ALBANY IN
47150-4661
US

V. Phone/Fax

Practice location:
  • Phone: 812-391-2133
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: AMANDA RAE SMITH
Title or Position: COUNSELOR/BUSINESS OWNER
Credential: LPCC, LMHC, IMHP
Phone: 812-391-2133