Individual provider · Type 1 NPI

Lisa Michelle Firestine, LMHC

Mental Health Counselor · Fort Wayne, IN

NPI number 1013738749 Active

Practice location

6157 Stoney Creek Dr
Fort Wayne, IN 46825-4409

Mailing address

3715 Indiana Ave
Fort Wayne, IN 46807-2213

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X39002689A (IN)

Mental Health Counselor: Definition to come...

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About NPI 1013738749

Lisa Michelle Firestine, LMHC's National Provider Identifier is 1013738749, issued on Oct 24, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Wayne, IN. The record was last updated on Oct 24, 2024.