| Lampion Center Inc | |
|
655 S Hebron Ave Evansville IN 47714-4048 | |
| (812) 471-1776 | |
| (812) 469-2000 |
| Full Name | Lampion Center Inc |
|---|---|
| Speciality | Social Worker |
| Location | 655 S Hebron Ave, Evansville, Indiana |
| Authorized Official Name and Position | Lynn Kyle (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8124711776 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lampion Center Inc 655 S Hebron Ave Evansville IN 47714-4048 Ph: (812) 471-1776 | Lampion Center Inc 655 S Hebron Ave Evansville IN 47714-4048 Ph: (812) 471-1776 |
| NPI Number | 1053323022 |
|---|---|
| Provider Enumeration Date | 08/11/2006 |
| Last Update Date | 05/19/2016 |
| Medicare PECOS PAC ID | 3577841204 |
|---|---|
| Medicare Enrollment ID | O20161031001212 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053323022 | NPI | - | NPPES |
| 200335230 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 34000984A (Indiana) | Primary |
| Provider Name | Cynthia G Owen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922405885 PECOS PAC ID: 4587942131 Enrollment ID: I20161102000439 |
| Provider Name | Emily J Morrison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063819910 PECOS PAC ID: 4082992425 Enrollment ID: I20161104002065 |
| Provider Name | Lynn D Kyle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275930125 PECOS PAC ID: 9537447271 Enrollment ID: I20161110001762 |
| Provider Name | Charles Wichman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235539495 PECOS PAC ID: 4587048715 Enrollment ID: I20220907001127 |
| Provider Name | Karley A Garrison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215596200 PECOS PAC ID: 8426426586 Enrollment ID: I20221121001437 |
| Provider Name | Lindsee Culbertson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831964147 PECOS PAC ID: 3779931712 Enrollment ID: I20231130002962 |
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