Provider Demographics
NPI:1912673088
Name:LINVILLE SERVICES
Entity Type:Organization
Organization Name:LINVILLE SERVICES
Other - Org Name:LINVILLE COUNSELING SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MSW, LCSW
Authorized Official - Prefix:
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:
Authorized Official - Last Name:LINVILLE
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW
Authorized Official - Phone:765-425-0628
Mailing Address - Street 1:13108 N DEPARTURE BLVD W
Mailing Address - Street 2:
Mailing Address - City:CAMBY
Mailing Address - State:IN
Mailing Address - Zip Code:46113-8342
Mailing Address - Country:US
Mailing Address - Phone:765-639-6192
Mailing Address - Fax:
Practice Address - Street 1:13108 N DEPARTURE BLVD W
Practice Address - Street 2:
Practice Address - City:CAMBY
Practice Address - State:IN
Practice Address - Zip Code:46113-8342
Practice Address - Country:US
Practice Address - Phone:765-639-6192
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-19
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)