Lincoln Counseling, Pc in South Bend - Counselor
Lincoln Counseling, Pc - NPI 1083788426
Lincoln Counseling, Pc is a Counselor in South Bend, Indiana. Lincoln Counseling, Pc practices all healthcare services and medical treatments related to Counselor. The NPI Number for Lincoln Counseling, Pc is 1083788426. The last update date is 2022-10-11.
Lincoln Counseling, Pc's current location address is 220 W Colfax Ave Ste 400, South Bend, Indiana. You can contact this provider via phone number 5742554976 and fax number 5742551882. The mailing address for Lincoln Counseling, Pc is 220 W Colfax Ave Ste 400, South Bend, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lincoln Counseling, Pc |
|---|---|
| Address | 220 W Colfax Ave Ste 400, South Bend, Indiana |
| Phone Number | 5742554976 |
| Fax Number | 5742551882 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Curtis M Jeannine |
| Credentials | LCSW |
| Telephone Number | 5742554976 |
NPI Number Detail
| NPI Number | 1083788426 |
|---|---|
| Provider Enumeration Date | 2006-11-18 |
| Last Updated Date | 2022-10-11 |
Provider Mailing Address Detail
| Address | 220 W Colfax Ave Ste 400 |
|---|---|
| City | South Bend |
| State | Indiana (IN) |
| Post Code | 466011635 |
| Phone Number | 5742554976 |
| Fax Number | 5742551882 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
| Licence No | 68000016A |
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Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 341216 | IN | ANTHEM | |
| 200475040B | IN | -- | |
| 200021670 | IN | -- | |
| 740606000 | IN | MAGELLAN | |
| 200475040A | IN | -- | |
| 399077 | IN | MHN | |
| 7014575 | IN | AETNA |
Post Comment/ Review Below
Could you please provide the complete street address where Lincoln Counseling, Pc is physically located?
The Lincoln Counseling, Pc is physically situated at the following address: 220 W Colfax Ave Ste 400, South Bend, IN, 466011635.
What is Lincoln Counseling, Pc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Lincoln Counseling, Pc is Counselor, and the taxonomy code that categorizes this field of expertise is 101Y00000X.
On what date did the Lincoln Counseling, Pc receive its 1083788426 assignment from the Centers for Medicare & Medicaid Services?
The Lincoln Counseling, Pc was assigned its 1083788426 by the Centers for Medicare & Medicaid Services on 2006-11-18.
As of what date were the Lincoln Counseling, Pc's details last updated?
The information pertaining to the Lincoln Counseling, Pc, including its address, specialty, and other details, was most recently updated on 2022-10-11.
As of what date were the details related to Lincoln Counseling, Pc most recently updated or revised?
The information pertaining to Lincoln Counseling, Pc, including its address, specialty, and other relevant details, was last updated or revised on 2022-10-11.