Organization · NPI-2

Family Care Center

Counselor, Mental Health · Fort Wayne, IN

NPI number1407877657

StatusActive

Last updated in NPPESAug 26, 2008

Details

NPI: 1407877657
Entity type: Organization (NPI-2)
Legal business name: Family Care Center
Organization subpart: No
Enumeration date: Jul 22, 2006
Last updated: Aug 26, 2008

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
101YM0800X	Counselor, Mental Health	–	–	Yes
101YA0400X	Counselor, Addiction (Substance Use Disorder)	–	–
103G00000X	Clinical Neuropsychologist	–	–
103T00000X	Psychologist	–	–
1041C0700X	Social Worker, Clinical	–	–
106H00000X	Marriage & Family Therapist	–	–

Practice location

2821 Hillegas Rd
Fort Wayne, IN 46808-3859

Phone 260-471-1950 · Fax 260-471-1950

Mailing address

2821 Hillegas Rd
Fort Wayne, IN 46808-3859

Phone 260-471-1950 · Fax 260-471-1950

Authorized official

Carly R Hawks
Office Manager
2604711950

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