| Dionne C Couchman, LMFT LCAC | |
|
2200 Randallia Dr, Fort Wayne, IN 46805-4638 | |
| (260) 373-8000 | |
| (260) 373-8034 |
| Full Name | Dionne C Couchman |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 2200 Randallia Dr, Fort Wayne, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134496326 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 87000451A (Indiana) | Secondary |
| 106H00000X | Marriage & Family Therapist | 35001800A (Indiana) | Primary |
| Entity Name | The Otis R Bowen Center For Human Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639172810 PECOS PAC ID: 7618950965 Enrollment ID: O20050404000853 |
| Mailing Address | Practice Location Address |
|---|---|
| Dionne C Couchman, LMFT LCAC 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701 Ph: () - | Dionne C Couchman, LMFT LCAC 2200 Randallia Dr, Fort Wayne, IN 46805-4638 Ph: (260) 373-8000 |
Miranda Harris, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 9417 Saint Joe Rd, Fort Wayne, IN 46835 Phone: 260-370-6573 | |
Melissa Sue Finefrock, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 909 E State Blvd, Fort Wayne, IN 46805 Phone: 260-481-2700 Fax: 260-481-2838 | |
Laketa Sha-ron Jackson, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6202 Constitution Dr Ste D, Fort Wayne, IN 46804 Phone: 260-432-0066 | |
Gary Younghans, MFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 3514 Stellhorn Rd, Fort Wayne, IN 46815 Phone: 260-492-5500 | |
Latoya Griffin, LMFTA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 9417 Saint Joe Center Rd, Fort Wayne, IN 46835 Phone: 260-209-1433 | |
Todd D Yoder, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4216 Flagstaff Cove, Harvest Counseling Group, Fort Wayne, IN 46815 Phone: 260-485-4357 Fax: 260-485-4357 | |
Glenis A Sundberg, MS. ED; LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1818 Carew St Ste 320, Fort Wayne, IN 46805 Phone: 260-373-5890 Fax: 260-422-8444 |