Individual provider · Type 1 NPI
Heath K. Lisenby, DMIN., LMHC
Mental Health Counselor · Fort Wayne, IN
NPI number
1730289810
Active
Practice location
6322 Constitution Dr
Fort Wayne, IN 46804-1518
Fax (260) 264-4581
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 39001625A (IN) |
Mental Health Counselor: Definition to come...
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About NPI 1730289810
Heath K. Lisenby, DMIN., LMHC's National Provider Identifier is 1730289810, issued on Sep 25, 2006. 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 Apr 22, 2022.