Provider Demographics
NPI:1518968981
Name:OGDEN, GAYLE THERESE (LMHC)
Entity Type:Individual
Prefix:MS
First Name:GAYLE
Middle Name:THERESE
Last Name:OGDEN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:GAYLE
Other - Middle Name:TERRI
Other - Last Name:RAUEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC LCAC
Mailing Address - Street 1:832 PINE LAKE DR.
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46143-7515
Mailing Address - Country:US
Mailing Address - Phone:317-494-0512
Mailing Address - Fax:317-530-5469
Practice Address - Street 1:832 PINE LAKE DR.
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46143-7515
Practice Address - Country:US
Practice Address - Phone:317-494-0512
Practice Address - Fax:317-530-5469
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-09
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39001392A101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional