Comprehensive Behavioral Services, Llc in Fort Wayne - Counseling

Comprehensive Behavioral Services, Llc - NPI 1023221207

Comprehensive Behavioral Services, Llc is a Counseling in Fort Wayne, Indiana. Comprehensive Behavioral Services, Llc practices all healthcare services and medical treatments related to Counseling. The NPI Number for Comprehensive Behavioral Services, Llc is 1023221207. The last update date is 2012-06-26.

Comprehensive Behavioral Services, Llc's current location address is 2809 E Dupont Rd, Fort Wayne, Indiana. You can contact this provider via phone number 2604925500 and fax number 2604925530. The mailing address for Comprehensive Behavioral Services, Llc is 2809 E Dupont Rd, Fort Wayne, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Organization Comprehensive Behavioral Services, Llc
Address 2809 E Dupont Rd, Fort Wayne, Indiana
Phone Number 2604925500
Fax Number 2604925530
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT/
Authorized Official Name Bevill-Dada Gayle
Credentials MS, LMHC
Telephone Number 2604925500

NPI Number Detail

NPI Number 1023221207
Provider Enumeration Date 2007-05-07
Last Updated Date 2012-06-26

Provider Mailing Address Detail

Address 2809 E Dupont Rd
City Fort Wayne
State Indiana (IN)
Post Code 468251668
Phone Number 2604925500
Fax Number 2604925530

Provider's Primary Taxonomy Detail

Speciality Counseling
Taxonomy 103Tc1900X
Licence No 2004070712A
Definition:
A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health c

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100332280 IN --
1023221207 IN --
1053488197 IN --

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FAQs about Comprehensive Behavioral Services, Llc

What is the unique 10-digit identifier code issued to Comprehensive Behavioral Services, Llc by the Centers for Medicare & Medicaid Services?

The Comprehensive Behavioral Services, Llc has been assigned the NPI (National Provider Identifier) 1023221207 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Where is the Comprehensive Behavioral Services, Llc located?

The Comprehensive Behavioral Services, Llc is located at 2809 E Dupont Rd, Fort Wayne, IN 468251668.

What is Comprehensive Behavioral Services, Llc's specialized field of practice, and what is the corresponding taxonomy classification code?

The Comprehensive Behavioral Services, Llc's area of specialization is Counseling, and the corresponding taxonomy code that categorizes this field of practice is 103Tc1900X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1023221207 to Comprehensive Behavioral Services, Llc?

The Centers for Medicare & Medicaid Services originally issued the 1023221207 to Comprehensive Behavioral Services, Llc on 2007-05-07.

When was the information regarding Comprehensive Behavioral Services, Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Comprehensive Behavioral Services, Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-06-26.

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