| Foster Park Counseling Llc | |
|
1027 W Rudisill Blvd Ste 207 Fort Wayne IN 46807-2160 | |
| (260) 444-7200 | |
| Not Available |
| Full Name | Foster Park Counseling Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1027 W Rudisill Blvd Ste 207, Fort Wayne, Indiana |
| Authorized Official Name and Position | Tracy C Marshall Johnson (COUNSELOR/OWNER) |
| Authorized Official Contact | 2604447200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foster Park Counseling Llc 1027 W Rudisill Blvd Ste 207 Fort Wayne IN 46807-2160 Ph: (260) 347-3280 | Foster Park Counseling Llc 1027 W Rudisill Blvd Ste 207 Fort Wayne IN 46807-2160 Ph: (260) 444-7200 |
| NPI Number | 1407503238 |
|---|---|
| Provider Enumeration Date | 03/02/2022 |
| Last Update Date | 03/02/2022 |
| Certification Date | 03/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407503238 | NPI | - | NPPES |
| 1811533128 | Medicaid | IN |
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 | |
Oaktree Guidance & Wellness Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 9910 Dupont Circle Drive, Suite 140, Fort Wayne, IN 46825 Phone: 260-570-4515 Fax: 260-209-0762 | |
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 |