| Caraconnect Counseling Llc | |
|
607 Airport North Office Park Fort Wayne IN 46825-6706 | |
| (260) 200-3223 | |
| (260) 264-5366 |
| Full Name | Caraconnect Counseling Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 607 Airport North Office Park, Fort Wayne, Indiana |
| Authorized Official Name and Position | Elizabeth A Whitaker (RENDERING PROVIDER) |
| Authorized Official Contact | 6147748307 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Caraconnect Counseling Llc 607 Airport North Office Park Fort Wayne IN 46825-6706 Ph: (260) 200-3223 | Caraconnect Counseling Llc 607 Airport North Office Park Fort Wayne IN 46825-6706 Ph: (260) 200-3223 |
| NPI Number | 1326758558 |
|---|---|
| Provider Enumeration Date | 11/29/2022 |
| Last Update Date | 11/29/2022 |
| Certification Date | 11/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326758558 | NPI | - | NPPES |
| 300046350 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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