Organization · Type 2 NPI
Foster Park Counseling LLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Fort Wayne, IN
NPI number
1407503238
Active
Practice location
1027 W Rudisill Blvd Ste 207
Fort Wayne, IN 46807-2160
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
Another provider at this address
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About NPI 1407503238
Foster Park Counseling LLC's National Provider Identifier is 1407503238, issued on Mar 2, 2022. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Fort Wayne, IN. The record was last updated on Mar 2, 2022.