Provider Demographics
NPI:1578362059
Name:EB COUNSELING LLC
Entity type:Organization
Organization Name:EB COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:AMELIA
Authorized Official - Last Name:BRAY-MULLENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-883-7087
Mailing Address - Street 1:708 GRASSY BEND DR
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46143-9828
Mailing Address - Country:US
Mailing Address - Phone:317-883-7087
Mailing Address - Fax:
Practice Address - Street 1:708 GRASSY BEND DR
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46143-9828
Practice Address - Country:US
Practice Address - Phone:317-883-7087
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty