Charlotte Elliott in Fort Wayne - Mental Health
Charlotte Elliott - NPI 1073672937
Charlotte Elliott is a Mental Health in Fort Wayne, Indiana. Charlotte Elliott practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Charlotte Elliott is 1073672937. The last update date is 2019-03-15.
Charlotte Elliott's current location address is 6334 Constitution Dr Ste 23, Fort Wayne, Indiana. You can contact this provider via phone number 2602091209 and fax number 2607823215. The mailing address for Charlotte Elliott is 6334 Constitution Dr Ste 23, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charlotte Elliott |
|---|---|
| Address | 6334 Constitution Dr Ste 23, Fort Wayne, Indiana |
| Phone Number | 2602091209 |
| Fax Number | 2607823215 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1073672937 |
|---|---|
| Provider Enumeration Date | 2006-12-07 |
| Last Updated Date | 2019-03-15 |
Provider Mailing Address Detail
| Address | 6334 Constitution Dr Ste 23 |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468041518 |
| Phone Number | 2602091209 |
| Fax Number | 2607823215 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 34004693A |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200026750A | IN | -- |
Post Comment/ Review Below
What is the Charlotte Elliott's unique identification number?
The Charlotte Elliott has been assigned the NPI (National Provider Identifier) Number 1073672937 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Charlotte Elliott is located?
The Charlotte Elliott is situated at the following address: 6334 Constitution Dr Ste 23, Fort Wayne, IN, 468041518.
What is the Charlotte Elliott's specialty and taxonomy code?
The Charlotte Elliott's specialty is Mental Health, and the corresponding taxonomy code is 101Ym0800X.
On what date did the Centers for Medicare & Medicaid Services assign the 1073672937 to Charlotte Elliott?
The Centers for Medicare & Medicaid Services assigned the 1073672937 to Charlotte Elliott on 2006-12-07.
When was the information regarding Charlotte Elliott, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Charlotte Elliott, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2019-03-15.