Organization Name: | LINCOLN COUNSELING, PC |
NPI Number: | 1083788426 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEANNINE M CURTIS (EXECUTIVE DIRECTOR) |
Mailing Address: | 113 Lincoln Way E Mishawaka |
State: | IN US |
Postal Code: | 465442016 |
Phone Number: | 5742554976 |
Fax Number: | 5742551882 |
NPI Enumeration Date: | 11/18/2006 |
NPI Last Update Date: | 02/25/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 68000016A |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |