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NPI Code Detail

MEDICARE: LINDY VAN KOMEN MFT

MEDICARE: LINDY VAN KOMEN MFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family TherapistM.2500470-TRNEOH

General Provider Information

NPI Number : 1831051978
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDY VAN KOMEN MFT
Provider Business Mailing Address
First Line : 3206 S BEECHGROVE RD
Second Line :
City : WILMINGTON
State : OH
Zip : 45177-9105
Country : US
Telephone Number : 513-274-3336
Fax Number :
Provider Business Practice Location Address
First Line : 10861 YANKEE ST
Second Line :
City : CENTERVILLE
State : OH
Zip : 45458-3574
Country : US
Telephone Number : 513-274-3336
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/26/2025
Last Update Date : 01/08/2026

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