Provider Demographics
NPI:1578379293
Name:MCARDLE, LUISHA (LPCC)
Entity type:Individual
Prefix:
First Name:LUISHA
Middle Name:
Last Name:MCARDLE
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1007 LEGISLATIVE LN
Mailing Address - Street 2:
Mailing Address - City:JEFFERSONVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47130-5546
Mailing Address - Country:US
Mailing Address - Phone:502-760-9129
Mailing Address - Fax:
Practice Address - Street 1:20 OAK PARK BLVD
Practice Address - Street 2:
Practice Address - City:JEFFERSONVILLE
Practice Address - State:IN
Practice Address - Zip Code:47130-6831
Practice Address - Country:US
Practice Address - Phone:502-760-9129
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-06
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY296288101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional