Healthcare Provider Details

I. General information

NPI: 1922141290
Provider Name (Legal Business Name): FAMILY SERVICE OF BARTHOLOMEW COUNTY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2007
Last Update Date: 07/22/2025
Certification Date: 07/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1531 13TH ST STE 2540
COLUMBUS IN
47201-1305
US

IV. Provider business mailing address

1531 13TH ST STE 2540
COLUMBUS IN
47201-1305
US

V. Phone/Fax

Practice location:
  • Phone: 812-372-3745
  • Fax: 812-954-0888
Mailing address:
  • Phone: 812-372-3745
  • Fax: 812-954-0888

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateIN
# 4
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code103TH0100X
TaxonomyHealth Service Psychologist
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: SUE LAMBORN
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 812-372-3745