| Frontline Alchemy Care, Llc | |
|
4646 W Jefferson Blvd Ste 270 Fort Wayne IN 46804-6832 | |
| (260) 207-4241 | |
| Not Available |
| Full Name | Frontline Alchemy Care, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 4646 W Jefferson Blvd Ste 270, Fort Wayne, Indiana |
| Authorized Official Name and Position | William Elton Roberson (OWNER / OFFICE MANAGER) |
| Authorized Official Contact | 2604172441 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Frontline Alchemy Care, Llc 4646 W Jefferson Blvd Ste 270 Fort Wayne IN 46804-6832 Ph: (260) 207-4241 | Frontline Alchemy Care, Llc 4646 W Jefferson Blvd Ste 270 Fort Wayne IN 46804-6832 Ph: (260) 207-4241 |
| NPI Number | 1215767264 |
|---|---|
| Provider Enumeration Date | 08/05/2024 |
| Last Update Date | 08/05/2024 |
| Certification Date | 08/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215767264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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