Organization · Type 2 NPI
Riverside Trauma Services
Mental Health Counselor · Fort Wayne, IN
NPI number
1376421453
Active
Practice location
127 W Berry St Ste 311
Fort Wayne, IN 46802-2310
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
2 other providers at this address
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About NPI 1376421453
Riverside Trauma Services's National Provider Identifier is 1376421453, issued on Aug 26, 2025. 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 Jan 12, 2026.