| Unboxed Grace Counseling Company Llc | |
|
2250 Lake Ave Ste 100 Fort Wayne IN 46805-5352 | |
| (260) 247-8288 | |
| Not Available |
| Full Name | Unboxed Grace Counseling Company Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2250 Lake Ave Ste 100, Fort Wayne, Indiana |
| Authorized Official Name and Position | Melissa Blackmer (CEO) |
| Authorized Official Contact | 2604500444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Unboxed Grace Counseling Company Llc 805 Woodland Springs Pl Fort Wayne IN 46825-6480 Ph: (260) 450-0444 | Unboxed Grace Counseling Company Llc 2250 Lake Ave Ste 100 Fort Wayne IN 46805-5352 Ph: (260) 247-8288 |
| NPI Number | 1386424729 |
|---|---|
| Provider Enumeration Date | 10/03/2023 |
| Last Update Date | 10/20/2023 |
| Certification Date | 10/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386424729 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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