Provider Demographics
NPI:1316013881
Name:ASSOCIATION OF PERSONAL AND FAMILY COUNSELORS
Entity Type:Organization
Organization Name:ASSOCIATION OF PERSONAL AND FAMILY COUNSELORS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL PARTNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:FOWLER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:1812-372-3177
Mailing Address - Street 1:2530 SANDCREST BLVD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:IN
Mailing Address - Zip Code:47203-3047
Mailing Address - Country:US
Mailing Address - Phone:812-372-3177
Mailing Address - Fax:812-372-3692
Practice Address - Street 1:2530 SANDCREST BLVD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:IN
Practice Address - Zip Code:47203-3047
Practice Address - Country:US
Practice Address - Phone:812-372-3177
Practice Address - Fax:812-372-3692
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN144010Medicare ID - Type Unspecified