Individual provider · Type 1 NPI

Amanda Mills Tallman

Mental Health Counselor · Fort Wayne, IN

NPI number 1083320717 Active

Practice location

909 E State Blvd
Fort Wayne, IN 46805-3404

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X39005398A (IN)

Mental Health Counselor: Definition to come...

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About NPI 1083320717

Amanda Mills Tallman's National Provider Identifier is 1083320717, issued on Jan 26, 2023. 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 Mar 22, 2025.