Provider Demographics
NPI:1730062563
Name:MAUGHERMAN COUNSELING & TESTING
Entity type:Organization
Organization Name:MAUGHERMAN COUNSELING & TESTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:MAUGHERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-215-9653
Mailing Address - Street 1:1301 N ALDEN RD
Mailing Address - Street 2:
Mailing Address - City:MUNCIE
Mailing Address - State:IN
Mailing Address - Zip Code:47304-2963
Mailing Address - Country:US
Mailing Address - Phone:765-215-9653
Mailing Address - Fax:
Practice Address - Street 1:2101 S MEADOWVIEW DR
Practice Address - Street 2:
Practice Address - City:YORKTOWN
Practice Address - State:IN
Practice Address - Zip Code:47396-1239
Practice Address - Country:US
Practice Address - Phone:765-228-2302
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-29
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)