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NPI Code Detail

MEDICARE: MS. LAURA L KIRCHHOFER LMHC, LMFT, LCAC

MEDICARE: MS. LAURA L KIRCHHOFER LMHC, LMFT, LCAC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor39001655AIN
2106H00000XMarriage & Family Therapist35001637AIN
3101YA0400XAddiction (Substance Use Disorder) Counselor87000759AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235247164
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LAURA L KIRCHHOFER LMHC, LMFT, LCAC
Provider Business Mailing Address
First Line : 9615 E 148TH ST
Second Line : SUITE 1
City : NOBLESVILLE
State : IN
Zip : 46060-4360
Country : US
Telephone Number : 317-587-0500
Fax Number : 317-674-0060
Provider Business Practice Location Address
First Line : 17840 CUMBERLAND RD
Second Line :
City : NOBLESVILLE
State : IN
Zip : 46060-5409
Country : US
Telephone Number : 317-574-1254
Fax Number : 317-674-0060
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2006
Last Update Date : 05/03/2013

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