Provider Demographics
NPI:1366483141
Name:STRYCKER, DEE L (LMHC)
Entity type:Individual
Prefix:
First Name:DEE
Middle Name:L
Last Name:STRYCKER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:DEE
Other - Middle Name:L
Other - Last Name:MAUST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2621 E JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:WARSAW
Mailing Address - State:IN
Mailing Address - Zip Code:46580-3880
Mailing Address - Country:US
Mailing Address - Phone:574-267-7169
Mailing Address - Fax:574-269-4189
Practice Address - Street 1:836 N DETROIT ST
Practice Address - Street 2:
Practice Address - City:LAGRANGE
Practice Address - State:IN
Practice Address - Zip Code:46761-1112
Practice Address - Country:US
Practice Address - Phone:260-499-3019
Practice Address - Fax:260-499-3022
Is Sole Proprietor?:No
Enumeration Date:2006-06-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39001074A101YM0800X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000492726OtherUNICARE
IN000000492726OtherANTHEM
IN000000492726OtherANTHEM