| Lisenby Counseling | |
|
6334 Constitution Dr Fort Wayne IN 46804-1518 | |
| (260) 443-3355 | |
| (260) 383-0302 |
| Full Name | Lisenby Counseling |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6334 Constitution Dr, Fort Wayne, Indiana |
| Authorized Official Name and Position | Heath Lisenby (OWNER/DIRECTOR) |
| Authorized Official Contact | 2609690288 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisenby Counseling 6334 Constitution Dr Fort Wayne IN 46804-1518 Ph: (260) 443-3355 | Lisenby Counseling 6334 Constitution Dr Fort Wayne IN 46804-1518 Ph: (260) 443-3355 |
| NPI Number | 1497291900 |
|---|---|
| Provider Enumeration Date | 01/09/2017 |
| Last Update Date | 01/09/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497291900 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 39001625A (Indiana) | Primary |
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