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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MIDWEST ADDICTION PSYCHIATRIC & PSYCHOLOGICAL SERVICES LLC

Active Organization

MIDWEST ADDICTION PSYCHIATRIC & PSYCHOLOGICAL SERVICES LLC is a Addiction (Substance Use Disorder) Counselor organization located in FORT WAYNE, Indiana. NPI 1336190149 is currently active in the NPPES registry. Verify at CMS.

Addiction (Substance Use Disorder) Counselor · FORT WAYNE, IN

Registration Details

NPI Number
1336190149
Provider Type
Organization
NPI Issued
May 15, 2006 (20.258292868536 yrs)
Last Updated
Mar 2, 2018
Licenses
14060ASO (IN)
14060ASO (IN)
14060ASO (IN)
14060ASO (IN)
14060ASO (IN)

Practice Information

Address
3010 E. STATE BLVD
STE 100
FORT WAYNE, IN, 46805
Browse IN providers · Browse ZIP 46805
Phone
2604710632
Fax
2604713451
Additional Specialty
Psychologist
Additional Specialty
Child, Clinical Psychologist

Other Addiction (Substance Use Disorder) Counselor Organizations in FORT WAYNE, IN

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.