MEDICARE: WEAR YOUR HEART COUNSELING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1184303299
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WEAR YOUR HEART COUNSELING

Provider Business Mailing Address
First Line	:	6835 ROYAL OAKLAND DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46236-4830
Country	:	US
Telephone Number	:	317-416-9905
Fax Number	:

Provider Business Practice Location Address
First Line	:	6835 ROYAL OAKLAND DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46236-4830
Country	:	US
Telephone Number	:	317-416-9905
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. JANISE WINSTON
Credential	:	LMHC
Telephone Number	:	317-416-9905

Provider Enumeration Date	:	07/17/2023
Last Update Date	:	07/17/2023

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Directions to “WEAR YOUR HEART COUNSELING ” Practice Location

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