|
| |
|
3201 Stellhorn Rd Ste I148 Fort Wayne IN 46815-4697 | |
| (844) 525-5226 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3201 Stellhorn Rd Ste I148, Fort Wayne, Indiana |
| Authorized Official Name and Position | David Knoll (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3475643283 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1187 Lakewood Farmingdale Rd Howell NJ 07731-8689 Ph: (574) 200-0038 | 3201 Stellhorn Rd Ste I148 Fort Wayne IN 46815-4697 Ph: (844) 525-5226 |
| NPI Number | 1962071308 |
|---|---|
| Provider Enumeration Date | 06/21/2021 |
| Last Update Date | 07/30/2021 |
| Certification Date | 07/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962071308 | NPI | - | NPPES |
Prometheus Psychological Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10214 Chestnut Plaza Dr, Suite 130, Fort Wayne, IN 46814 Phone: 260-409-8188 | |
Christina Stapleton, L.l.c Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10315 Dawsons Creek Blvd # 12, Fort Wayne, IN 46825 Phone: 260-387-6340 | |
Courageous Healing Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2013 S Anthony Blvd, Fort Wayne, IN 46803 Phone: 260-417-4801 | |
Raj Clinics Professional Services Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 Airport North Office Park, Fort Wayne, IN 46825 Phone: 574-732-1166 Fax: 574-753-4117 | |
Sharon Mowrer Counseling And Consulting Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1415 Magnavox Way, Suite 120, Fort Wayne, IN 46804 Phone: 260-760-8645 | |
A.w. Holdings, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3900 Hursh Rd, Fort Wayne, IN 46845 Phone: 260-637-3608 |