Organization · NPI-2

Caraconnect Counseling LLC

Clinic/Center, Adult Mental Health · Fort Wayne, IN

NPI number1326758558
StatusActive
Last updated in NPPESNov 29, 2022

Details

NPI
1326758558
Entity type
Organization (NPI-2)
Legal business name
Caraconnect Counseling LLC
Organization subpart
No
Enumeration date
Nov 29, 2022
Certification date
Nov 29, 2022
Last updated
Nov 29, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0850X Clinic/Center, Adult Mental Health––Yes

Practice location

607 Airport North Office Park
Fort Wayne, IN 46825-6706

Phone 260-200-3223 · Fax 260-264-5366

Mailing address

607 Airport North Office Park
Fort Wayne, IN 46825-6706

Phone 260-200-3223

Authorized official

Elizabeth A Whitaker
Rendering Provider
6147748307

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