MRS. LAURIE DANAE THEIN (NPI# 1386811321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386811321 |
| Entity Type | Individual |
| Full Name | MRS. LAURIE DANAE THEIN |
| Credential | LMHC |
| Practice Address |
123 E Main St Fredericksburg IA 50630-7701 |
| Mailing Address |
123 E Main St Po Box 155 Fredericksburg IA 50630-7701 |
| Practice Telephone | 5632375157 |
| Practice Fax Number | 3198653110 |
| Mailing Telephone | 5632375157 |
| Mailing Fax Number | 3198653110 |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2009-12-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
00725 | IA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 1203580 | 05 | |
| IA | 0203580 | 05 |
| Street Address |
123 E MAIN ST |
| City | FREDERICKSBURG |
| State | IA |
| Zip Code | 50630-7701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154463081 | Chickasaw Ambulance Service Inc | Ambulance | 121 Buckeye Street, Fredericksburg, IA 50630 | 2007-02-14 |
| 1205838687 | Steven William Horak | Chiropractor | 111 West Main Street, Fredericksburg, IA 50630 | 2005-08-15 |
| 1447582390 | Pathways Behavioral Services Inc | Community/Behavioral Health | 602 S Washington Ave, Fredericksburg, IA 50630-1003 | 2010-02-03 |
| 1396376414 | Molly Barbara Demuth | Counselor | 602 S Washington Ave, Fredericksburg, IA 50630-1003 | 2020-01-28 |
| 1942611751 | Lacey Schmitt | Counselor | 602 S Washington Ave, Fredericksburg, IA 50630-1003 | 2014-05-14 |
| 1922320084 | Pathways Behavioral Services Inc | Substance Abuse Rehabilitation Facility | 602 S Washington Ave, Fredericksburg, IA 50630-1003 | 2010-02-17 |
| 1033438809 | Jillian Jolley | Doula | 205 S Washington Ave, Fredericksburg, IA 50630-1036 | 2010-05-19 |
| 1184808081 | Fredericksburg Comm School District | Local Education Agency (LEA) | 401 E High St, Fredericksburg, IA 50630-7730 | 2007-12-27 |
| 1649530924 | Shelley Carter | Military Health Care Provider | 2436 Pembroke Ave, Fredericksburg, IA 50630-9499 | 2012-05-21 |
| 1326248402 | Amber Rose Suckow | Specialist/Technologist | 2865 Newell Ave, Fredericksburg, IA 50630-9515 | 2007-07-18 |
| Find all providers in zip 50630 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245831247 | Erin Roberts | Counselor | 1845 Sag Harbor Ln, Fredericksburg, VA 22401-5083 | 2020-11-05 |
| 1073135687 | Gaye Berkshire Marston | Counselor | 11120 Gordon Rd, Fredericksburg, VA 22407-1713 | 2020-05-18 |
| 1063047025 | Quynh H. Lee | Counselor | 140 Industrial Loop Ste 200, Fredericksburg, TX 78624-5458 | 2020-03-10 |
| 1407348501 | Dina Maria Martinez Lombardy | Counselor | 6506 Forest Grove Dr, Fredericksburg, VA 22407 | 2018-06-04 |
| 1104350610 | Kristina Bonanca | Counselor | 1500 Dunes St, Apt 304, Fredericksburg, VA 22401-5018 | 2017-04-12 |
| 1063952844 | Pelorus Counseling and Consulting, LLC | Counselor | 3306 Bourbon St, Fredericksburg, VA 22408-7311 | 2017-02-28 |
| 1639612708 | Desha Thompson | Counselor | 10304 Spotsylvania Ave Ste 300, Fredericksburg, VA 22408-8605 | 2016-11-22 |
| 1114398740 | Courtney Mckane | Counselor | 1101 Stafford Ave, Fredericksburg, VA 22401-5457 | 2015-10-08 |
| 1295135739 | Kaitlin Witmer | Counselor | 10712 Ballantraye Dr Ste 304, Fredericksburg, VA 22407-4702 | 2014-09-03 |
| 1083031454 | Shirley Taylor | Counselor | 4510 Plank Rd Ste 203, Fredericksburg, VA 22407-0138 | 2014-03-24 |
| Find all providers in FREDERICKSBURG | ||||
| City | FREDERICKSBURG |
| Zip Code | 50630 |
Please comment or provide details below to improve the information on MRS. LAURIE DANAE THEIN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.