Healthcare Provider Details

I. General information

NPI: 1942692835
Provider Name (Legal Business Name): JULI RAINS MS, LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JULI LAUTENSCHLAEGER

II. Dates (important events)

Enumeration Date: 03/02/2015
Last Update Date: 10/06/2022
Certification Date: 10/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

831 DILLON DR
RICHMOND IN
47374-8048
US

IV. Provider business mailing address

645 S ROGERS ST
BLOOMINGTON IN
47403-2353
US

V. Phone/Fax

Practice location:
  • Phone: 765-983-8000
  • Fax:
Mailing address:
  • Phone: 812-339-1691
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number35001952A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: