Healthcare Provider Details

I. General information

NPI: 1851296974
Provider Name (Legal Business Name): SEASON FOR CHANGE COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

649 WHITTIER DR
SEYMOUR IN
47274-3459
US

IV. Provider business mailing address

649 WHITTIER DR
SEYMOUR IN
47274-3459
US

V. Phone/Fax

Practice location:
  • Phone: 812-955-7331
  • Fax: 812-955-6592
Mailing address:
  • Phone: 812-955-7331
  • Fax: 812-955-6592

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: CATHERINE MARY DUBOIS
Title or Position: OWNER, LMHC
Credential:
Phone: 812-955-7331