Provider Demographics
NPI:1942234182
Name:CULVER, LINDA J (LMHC, MAC)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:J
Last Name:CULVER
Suffix:
Gender:F
Credentials:LMHC, MAC
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:J
Other - Last Name:PANCINI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8955 COLUMBIA AVE
Mailing Address - Street 2:
Mailing Address - City:MUNSTER
Mailing Address - State:IN
Mailing Address - Zip Code:46321-2903
Mailing Address - Country:US
Mailing Address - Phone:219-923-8110
Mailing Address - Fax:219-923-8126
Practice Address - Street 1:8955 COLUMBIA AVE
Practice Address - Street 2:
Practice Address - City:MUNSTER
Practice Address - State:IN
Practice Address - Zip Code:46321-2903
Practice Address - Country:US
Practice Address - Phone:219-923-8110
Practice Address - Fax:219-923-8126
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
507066101YA0400X
IN39001427A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health