Healthcare Provider Details

I. General information

NPI: 1467376533
Provider Name (Legal Business Name): LAINIE KRUMENACKER LMHCA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7144 E VIRGINIA ST STE C
EVANSVILLE IN
47715-9125
US

IV. Provider business mailing address

7144 E VIRGINIA ST STE C
EVANSVILLE IN
47715-9125
US

V. Phone/Fax

Practice location:
  • Phone: 812-479-1242
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number88003397A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: