Provider Demographics
NPI:1013137736
Name:EVANSVILLE LUTHERAN FAMILY COUNSELING, INC.
Entity Type:Organization
Organization Name:EVANSVILLE LUTHERAN FAMILY COUNSELING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RITA
Authorized Official - Middle Name:JOY
Authorized Official - Last Name:SOEKEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-424-5620
Mailing Address - Street 1:27 E VIRGINIA ST
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47711-5429
Mailing Address - Country:US
Mailing Address - Phone:812-424-5620
Mailing Address - Fax:812-424-5624
Practice Address - Street 1:27 E VIRGINIA ST
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47711-5429
Practice Address - Country:US
Practice Address - Phone:812-424-5620
Practice Address - Fax:812-424-5624
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health