Heath K. Lisenby in Fort Wayne - Mental Health
Heath K. Lisenby - NPI 1730289810
Heath K. Lisenby is a Mental Health in Fort Wayne, Indiana. Heath K. Lisenby practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Heath K. Lisenby is 1730289810. The last update date is 2022-04-22.
Heath K. Lisenby's current location address is 6322 Constitution Dr, Fort Wayne, Indiana. You can contact this provider via phone number 2602030294 and fax number 2602644581. The mailing address for Heath K. Lisenby is 6322 Constitution Dr, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Heath K. Lisenby |
|---|---|
| Address | 6322 Constitution Dr, Fort Wayne, Indiana |
| Phone Number | 2602030294 |
| Fax Number | 2602644581 |
| Sole Proprietor | Y |
| Credentials | DMIN., LMH |
NPI Number Detail
| NPI Number | 1730289810 |
|---|---|
| Provider Enumeration Date | 2006-09-25 |
| Last Updated Date | 2022-04-22 |
Provider Mailing Address Detail
| Address | 6322 Constitution Dr |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468041518 |
| Phone Number | 2602030294 |
| Fax Number | 2602644581 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 39001625A |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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What is the unique 10-digit identification code issued to Heath K. Lisenby by the Centers for Medicare & Medicaid Services?
The Heath K. Lisenby has been assigned the NPI (National Provider Identifier) 1730289810 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Heath K. Lisenby located?
The Heath K. Lisenby is located at 6322 Constitution Dr, Fort Wayne, IN 468041518.
What is Heath K. Lisenby's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Heath K. Lisenby's specialized field of practice is Mental Health, and the corresponding taxonomy code that categorizes this area of specialization is 101Ym0800X.
On what date was the 1730289810 assigned to Heath K. Lisenby?
The Heath K. Lisenby was issued its 1730289810 on 2006-09-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Heath K. Lisenby last refreshed?
The information related to the Heath K. Lisenby, including its address, specialty, and other relevant details, was last updated on 2022-04-22.