Provider Demographics
NPI:1194993642
Name:LINVILLE, STEVE C (MA)
Entity type:Individual
Prefix:MR
First Name:STEVE
Middle Name:C
Last Name:LINVILLE
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1110
Mailing Address - Street 2:
Mailing Address - City:BROWNSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:46112-5110
Mailing Address - Country:US
Mailing Address - Phone:317-858-8630
Mailing Address - Fax:317-858-8715
Practice Address - Street 1:5049 E. 11TH STREET
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46201
Practice Address - Country:US
Practice Address - Phone:317-858-8630
Practice Address - Fax:317-858-8715
Is Sole Proprietor?:No
Enumeration Date:2008-02-19
Last Update Date:2008-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health