Individual ProviderErin WellsCounselorBehavioral Health & Social Service ProvidersPractice Address2005 Valparaiso St, Suite 209, Valparaiso, IN 46383(219) 252-5464PECOS EnrollmentBased on the most recent information from CMS, provider Erin Wells does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1811369176Provider TypeIndividualFull NameWells, ErinCredentialMA, LMHCA, NCCGenderFemaleSole ProprietorNoEnumeration Date10/27/2015Last Updated6/16/2018Contact InformationPractice LocationPractice Address2005 Valparaiso St, Suite 209, Valparaiso, IN 46383Phone(219) 252-5464Fax(219) 728-1860Mailing LocationMailing Address1012 W Indiana St, Kouts, IN 46347-9703PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense88000505AIndiana