Healthcare Provider Details

I. General information

NPI: 1366376030
Provider Name (Legal Business Name): LAURALIGN COUNSELING AND WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4088 STATE ROUTE 261
NEWBURGH IN
47630-2650
US

IV. Provider business mailing address

1363 MESKER PARK DR APT A
EVANSVILLE IN
47720-8201
US

V. Phone/Fax

Practice location:
  • Phone: 812-732-9777
  • Fax:
Mailing address:
  • Phone: 812-455-9129
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: LAURA CRADDOCK
Title or Position: LLC OWNER/MEMBER
Credential: LCSW
Phone: 812-455-9129