Provider Demographics
NPI:1740534619
Name:LAUE, PAULINE P (LMHC)
Entity type:Individual
Prefix:
First Name:PAULINE
Middle Name:P
Last Name:LAUE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6335 S EAST ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46227-7112
Mailing Address - Country:US
Mailing Address - Phone:317-780-1610
Mailing Address - Fax:317-280-7277
Practice Address - Street 1:6335 S EAST ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46227-7112
Practice Address - Country:US
Practice Address - Phone:317-780-1610
Practice Address - Fax:317-280-7277
Is Sole Proprietor?:No
Enumeration Date:2012-10-31
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN39002398AOtherLICENSE