Lydia Hentz
Counselor, Mental Health in Fort Wayne, IN. Individual provider (NPI-1).
NPI number1952941908
StatusActive
Last updated in NPPESAug 13, 2021
Details
- NPI
- 1952941908
- Entity type
- Individual (NPI-1)
- Name
- Lydia Hentz
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 7, 2020
- Certification date
- Aug 13, 2021
- Last updated
- Aug 13, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 39003477A | IN | Yes |
Practice location
2200 Randallia DrFort Wayne, IN 46805-4638
Phone 260-373-8000 · Fax 260-373-8034
Mailing address
11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
Other practice locations
1909 Carew St
Fort Wayne, IN 46805-4707
Fort Wayne, IN 46805-4707
Phone 260-481-2800 · Fax 260-969-8442
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