Hicks, Laurel

Hicks, Laurel is an sole proprietor health care provider with primary practice located at 2680 E Main St Suite 126, Plainfield IN 46168-2825. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Hicks, Laurel can be contacted via phone (317) 966-8366.

Contact Information

Primary practice address
2680 E Main St Suite 126 Plainfield IN 46168-2825
Fax: (317) 837-4901
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 34004687A Indiana

Profile Details

NPI number 1104892942
LBN Legal business name Hicks, Laurel
Credentials LCSW, LLC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 23rd, 2006
Last updated May 25th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104892942 NPPES
Indiana MEDICAID 39897001

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