1265597595 NPI number — TREAT & LINDSEY COUNSELING ASSOCIATES IN

Table of content: (NPI 1265597595)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1265597595 NPI number — TREAT & LINDSEY COUNSELING ASSOCIATES IN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TREAT & LINDSEY COUNSELING ASSOCIATES IN
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1265597595
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2676 CHARLESTOWN RD
Provider Second Line Business Mailing Address:
SUITE 9
Provider Business Mailing Address City Name:
NEW ALBANY
Provider Business Mailing Address State Name:
IN
Provider Business Mailing Address Postal Code:
47150-2574
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
812-948-8522
Provider Business Mailing Address Fax Number:
812-948-8613

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2676 CHARLESTOWN RD
Provider Second Line Business Practice Location Address:
SUITE 9
Provider Business Practice Location Address City Name:
NEW ALBANY
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
47150-2574
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
812-948-8522
Provider Business Practice Location Address Fax Number:
812-948-8613
Provider Enumeration Date:
12/27/2006

Additional Information

Authorized Official

Authorized Official Last Name:
LINDSEY
Authorized Official First Name:
AMY
Authorized Official Middle Name:
J
Authorized Official Title or Position:
OWNER SOCIAL WORKER
Authorized Official Telephone Number:
812-548-8522

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  34004396 , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 1041C0700X , with the licence number: KY 1468 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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