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Contact Information

LAURA A BOOTH, LCAC
401 S EARL AVE STE 4A
LAFAYETTE, IN47904-3265
 Phone: 765-297-0090
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for LAURA A BOOTH · (Female)

NPI Number 1477264216
Status Active
Credentials LCAC
Entity Individual
Enumeration date 12/13/2022
Last updated 03/26/2026 - About 2 months ago
Sole proprietor 1 No
Identifiers
  • IN License # 33010727A
  • IN License # 87001813A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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