Cherished Roads Counseling Llc | |
607 Airport North Office Park Fort Wayne IN 46825-6706 | |
(260) 413-1628 | |
Not Available |
Full Name | Cherished Roads Counseling Llc |
---|---|
Speciality | Clinic/center - Adult Mental Health |
Location | 607 Airport North Office Park, Fort Wayne, Indiana |
Authorized Official Name and Position | Cheri Rhoades (RENDERING PROVIDER) |
Authorized Official Contact | 2604131628 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Cherished Roads Counseling Llc 607 Airport North Office Park Fort Wayne IN 46825-6706 Ph: (260) 413-1628 | Cherished Roads Counseling Llc 607 Airport North Office Park Fort Wayne IN 46825-6706 Ph: (260) 413-1628 |
NPI Number | 1780394916 |
---|---|
Provider Enumeration Date | 11/29/2022 |
Last Update Date | 08/06/2024 |
Certification Date | 08/06/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780394916 | NPI | - | NPPES |
300046566 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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