Evansville Counseling Center, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

EVANSVILLE COUNSELING CENTER, LLC

Practice address

815 John St
Evansville, IN 47713-2746

Phone

(812) 435-0500

NPI assigned

Jun 19, 2010

Last updated

Jun 19, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mark Luzader

Title

Ownder

Phone

(812) 425-0500

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1276905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276905600000",
    "number": "1710208194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 JOHN ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477132746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 JOHN ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477132746",
            "telephone_number": "812-435-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANSVILLE COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-19",
        "last_updated": "2010-06-19",
        "status": "A",
        "authorized_official_last_name": "LUZADER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNDER",
        "authorized_official_telephone_number": "812-425-0500"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Evansville, IN
• Providers in Evansville, IN by specialty
• Community/Behavioral Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.