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General NPI Number Information
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NPI Number | 1366376030
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Entity Type | Organization
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Legal Business Name | LAURALIGN COUNSELING AND WELLNESS, LLC
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Dates
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Enumeration Date | 06/09/2026
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Last Update Date | 06/09/2026
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Provider Practice Location Address
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Address Line | 4088 STATE ROUTE 261
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City | NEWBURGH
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State | IN
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Zip | 47630-2650
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Country | US
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Telephone | 812-732-9777
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Fax |
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Provider Business Mailing Address
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Address Line | 1363 MESKER PARK DR APT A
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City | EVANSVILLE
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State | IN
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Zip | 47720-8201
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Country | US
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Telephone | 812-455-9129
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Fax |
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Authorized Official
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Title or Position | LLC OWNER/MEMBER
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Name | LAURA CRADDOCK
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Credential | LCSW
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Telephone | 812-455-9129
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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