Provider Demographics
NPI:1629647110
Name:LUTHERAN CHILD AND FAMILY SERVICES OF INDIANA/KENTUCKY, INC.
Entity Type:Organization
Organization Name:LUTHERAN CHILD AND FAMILY SERVICES OF INDIANA/KENTUCKY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHUMACHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-359-5467
Mailing Address - Street 1:1525 N RITTER AVE
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46219-3026
Mailing Address - Country:US
Mailing Address - Phone:317-359-5467
Mailing Address - Fax:
Practice Address - Street 1:1501 LESLEY AVE
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46219-3147
Practice Address - Country:US
Practice Address - Phone:317-359-5467
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-21
Last Update Date:2021-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health