Healthcare Provider Details

I. General information

NPI: 1336063734
Provider Name (Legal Business Name): MAGGIE ANN WALSMAN LMHCA, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 N EAST STREET
WALDRON IN
46182
US

IV. Provider business mailing address

780 N COUNTY ROAD 225 E
GREENSBURG IN
47240-7642
US

V. Phone/Fax

Practice location:
  • Phone: 765-525-6822
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number88002971A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: