| L Jean Hines | |
|
839 Main St Ste 500 Lafayette IN 47901-2830 | |
| (765) 427-8019 | |
| (765) 374-2752 |
| Full Name | L Jean Hines |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 839 Main St Ste 500, Lafayette, Indiana |
| Authorized Official Name and Position | Jean Hines (OWNER) |
| Authorized Official Contact | 7654278019 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| L Jean Hines 10918 S Springboro Rd Brookston IN 47923-8277 Ph: (765) 427-8019 | L Jean Hines 839 Main St Ste 500 Lafayette IN 47901-2830 Ph: (765) 427-8019 |
| NPI Number | 1073478442 |
|---|---|
| Provider Enumeration Date | 12/18/2025 |
| Last Update Date | 12/18/2025 |
| Certification Date | 12/18/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073478442 | NPI | - | NPPES |
| 300120973 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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