Individual provider · Type 1 NPI
Lydia Hentz
Mental Health Counselor · Fort Wayne, IN
NPI number
1952941908
Active
Practice location
2200 Randallia Dr
Fort Wayne, IN 46805-4638
Fax (260) 373-8034
Mailing address
11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701
Other practice locations
- 1909 Carew St, Fort Wayne, IN 46805-4707 · (260) 481-2800
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 39003477A (IN) |
Mental Health Counselor: Definition to come...
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About NPI 1952941908
Lydia Hentz's National Provider Identifier is 1952941908, issued on Jan 7, 2020. 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 Aug 13, 2021.