Providence Counseling Center, Inc. in Fort Wayne - Clinical
Providence Counseling Center, Inc. - NPI 1174619654
Providence Counseling Center, Inc. is a Clinical in Fort Wayne, Indiana. Providence Counseling Center, Inc. practices all healthcare services and medical treatments related to Clinical. The NPI Number for Providence Counseling Center, Inc. is 1174619654. The last update date is 2020-08-22.
Providence Counseling Center, Inc.'s current location address is Po Box 5622, Fort Wayne, Indiana. You can contact this provider via phone number 2604186765 and fax number 2604160601. The mailing address for Providence Counseling Center, Inc. is Po Box 5622, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Providence Counseling Center, Inc. |
|---|---|
| Address | Po Box 5622, Fort Wayne, Indiana |
| Phone Number | 2604186765 |
| Fax Number | 2604160601 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Davis D C Laudia |
| Credentials | MSW, LCSW |
| Telephone Number | 2604186765 |
NPI Number Detail
| NPI Number | 1174619654 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 5622 |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468955622 |
| Phone Number | 2604186765 |
| Fax Number | 2604160601 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 34004602A |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Post Comment/ Review Below
What is the unique identifier code issued to Providence Counseling Center, Inc. by the Centers for Medicare & Medicaid Services (CMS)?
The Providence Counseling Center, Inc. has been assigned the NPI (National Provider Identifier) 1174619654. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Providence Counseling Center, Inc.?
The Providence Counseling Center, Inc. is physically situated at Po Box 5622, in the city of Fort Wayne, state of IN, with the postal code 468955622.
What is the Providence Counseling Center, Inc.'s specialty and taxonomy code?
The Providence Counseling Center, Inc.'s specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did Providence Counseling Center, Inc. receive its 1174619654 assignment from the Centers for Medicare & Medicaid Services?
The Providence Counseling Center, Inc. was assigned its 1174619654 on 2006-10-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Providence Counseling Center, Inc.'s information last updated?
The Providence Counseling Center, Inc.'s information was last updated on 2020-08-22.