| Piazza Counseling Group, Llc | |
|
6319 Mutual Dr Fort Wayne IN 46825-4246 | |
| (260) 209-4262 | |
| Not Available |
| Full Name | Piazza Counseling Group, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 6319 Mutual Dr, Fort Wayne, Indiana |
| Authorized Official Name and Position | Alyse Piazza (OWNER) |
| Authorized Official Contact | 2602094262 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Piazza Counseling Group, Llc 4317 Live Oak Blvd Fort Wayne IN 46804-4036 Ph: () - | Piazza Counseling Group, Llc 6319 Mutual Dr Fort Wayne IN 46825-4246 Ph: (260) 209-4262 |
| NPI Number | 1124727672 |
|---|---|
| Provider Enumeration Date | 02/23/2023 |
| Last Update Date | 02/23/2023 |
| Certification Date | 02/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124727672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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