| Compassionate Counseling Services, Llc | |
|
7311b W Jefferson Blvd Fort Wayne IN 46804-6237 | |
| (260) 446-8709 | |
| Not Available |
| Full Name | Compassionate Counseling Services, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7311b W Jefferson Blvd, Fort Wayne, Indiana |
| Authorized Official Name and Position | Rebecca Bohn (OWNER) |
| Authorized Official Contact | 2604468709 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Compassionate Counseling Services, Llc 7311b W Jefferson Blvd Fort Wayne IN 46804-6237 Ph: (260) 446-8709 | Compassionate Counseling Services, Llc 7311b W Jefferson Blvd Fort Wayne IN 46804-6237 Ph: (260) 446-8709 |
| NPI Number | 1548975790 |
|---|---|
| Provider Enumeration Date | 01/20/2023 |
| Last Update Date | 08/09/2023 |
| Certification Date | 08/09/2023 |
| Medicare PECOS PAC ID | 8022474477 |
|---|---|
| Medicare Enrollment ID | O20230510001036 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548975790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Rebecca Ann Bohn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639797699 PECOS PAC ID: 9931565389 Enrollment ID: I20230510001129 |
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