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NPI Code Detail

MEDICARE: WATTLEY COUNSELING & CONSULTING

MEDICARE: WATTLEY COUNSELING & CONSULTING
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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1457217457
Entity Type Code : Organization
Provider Name (Legal Business Name) : WATTLEY COUNSELING & CONSULTING
Provider Business Mailing Address
First Line : 5868 E 71ST ST STE E
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46220-4076
Country : US
Telephone Number : 317-721-7229
Fax Number :
Provider Business Practice Location Address
First Line : 4613 FALCON RUN WAY
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46254-2073
Country : US
Telephone Number : 317-250-6698
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MS. LADONNA WATTLEY
Credential : LCSW
Telephone Number : 317-250-6698
Provider Enumeration Date : 01/02/2026
Last Update Date : 01/02/2026

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Directions to “WATTLEY COUNSELING & CONSULTING ” Practice Location

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