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 |
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Provider Enumeration Date | 2007-05-07 |
Last Updated Date | 2012-06-26 |
Provider Mailing Address Detail
Address | 2809 E Dupont Rd |
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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 | -- |
Post Comment/ Review Below
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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