Individual
MRS. MIRANDA K LINVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMHC
Contact information
Practice address
9465 COUNSELORS ROW STE 200, INDIANAPOLIS, IN 46240-3817
(317) 731-2257
(317) 953-7149
Mailing address
9465 COUNSELORS ROW STE 200, INDIANAPOLIS, IN 46240-3817
(317) 731-2257
(317) 953-7149
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39002723A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39002723A
STATE LICENSE
IN
01
—
E.2404383
STATE LICENSE
OH
Enumeration date
11/26/2018
Last updated
02/10/2025
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