Organization · Type 2 NPI
BHG Lxvii, LLC
Multi-Specialty Clinic/Center · Fort Wayne, IN
NPI number
1275316697
Active
Practice location
3910 Lima Road, Obot Room 100
Fort Wayne, IN 46805-1031
Fax (260) 420-9020
Mailing address
5001 Spring Valley Rd Ste 600
Dallas, TX 75244-3946
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | None listed |
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | None listed |
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | None listed |
| Addiction Medicine (Preventive Medicine) Physician | 2083A0300X | None listed |
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | None listed |
| Multi-Specialty Clinic/Center Primary | 261QM1300X | None listed |
| Nurse Practitioner | 363L00000X | None listed |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | None listed |
Multi-Specialty Clinic/Center: Definition to come...
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About NPI 1275316697
BHG Lxvii, LLC's National Provider Identifier is 1275316697, issued on Aug 17, 2023. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Fort Wayne, IN. The record was last updated on Sep 22, 2025.