| Laura Lininger, Lcsw Counseling Services, Llc | |
|
101 W Kirkwood Ave Fountain Square, Suite 218 Bloomington IN 47404-6129 | |
| (812) 327-6842 | |
| (812) 676-9351 |
| Full Name | Laura Lininger, Lcsw Counseling Services, Llc |
|---|---|
| Speciality | Counselor |
| Location | 101 W Kirkwood Ave, Bloomington, Indiana |
| Authorized Official Name and Position | Laura Diane Lininger (SOLE PROPRIETOR/ THERAPIST) |
| Authorized Official Contact | 8123276842 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Lininger, Lcsw Counseling Services, Llc 101 W Kirkwood Ave Fountain Square, Suite 218 Bloomington IN 47404-6129 Ph: (812) 327-6842 | Laura Lininger, Lcsw Counseling Services, Llc 101 W Kirkwood Ave Fountain Square, Suite 218 Bloomington IN 47404-6129 Ph: (812) 327-6842 |
| NPI Number | 1821412602 |
|---|---|
| Provider Enumeration Date | 02/13/2014 |
| Last Update Date | 09/03/2014 |
| Medicare PECOS PAC ID | 7214167246 |
|---|---|
| Medicare Enrollment ID | O20140313000201 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821412602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 34003425A (Indiana) | Primary |
| Provider Name | Laura D Lininger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194709287 PECOS PAC ID: 7517977366 Enrollment ID: I20060425000349 |
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