| Ginger & Iru, Llc | |
|
6710 Old Trail Rd Fort Wayne IN 46809-2639 | |
| (260) 580-3734 | |
| Not Available |
| Full Name | Ginger & Iru, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 6710 Old Trail Rd, Fort Wayne, Indiana |
| Authorized Official Name and Position | Robin Michelle Crawford (OWNER AND THERAPIST) |
| Authorized Official Contact | 2605803734 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ginger & Iru, Llc 6710 Old Trail Rd Fort Wayne IN 46809-2639 Ph: (260) 580-3734 | Ginger & Iru, Llc 6710 Old Trail Rd Fort Wayne IN 46809-2639 Ph: (260) 580-3734 |
| NPI Number | 1275313496 |
|---|---|
| Provider Enumeration Date | 10/04/2023 |
| Last Update Date | 10/06/2023 |
| Certification Date | 10/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275313496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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