MARY SUSAN THUILLARD NPI 1417401167

NPI Information

NPI: 1417401167
Provider Name: MARY SUSAN THUILLARD
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
2155 N STATE ROAD 9
LAGRANGE, IN
ZIP 46761
Phone: (260) 463-7144
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Mary Susan Thuillard is a counselor in Lagrange, IN. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Mary Susan Thuillard NPI is 1417401167. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2155 N STATE ROAD 9
LAGRANGE, IN
ZIP 46761-746
Phone: (260) 463-7144
Fax: (260) 463-7146

The enumeration date for this NPI number is 8/11/2016 and was last updated on 8/11/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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