| Greta Lavon Mckinney, | |
|
315 Airport North Office Park, Fort Wayne, IN 46825-6703 | |
| (260) 490-8352 | |
| (260) 497-0074 |
| Full Name | Greta Lavon Mckinney |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 315 Airport North Office Park, Fort Wayne, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396057626 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Entity Name | Tailoring Minds Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396524435 PECOS PAC ID: 4284073586 Enrollment ID: O20240419000901 |
| Mailing Address | Practice Location Address |
|---|---|
| Greta Lavon Mckinney, 1337 Hayden St, Fort Wayne, IN 46803-2043 Ph: (260) 348-0794 | Greta Lavon Mckinney, 315 Airport North Office Park, Fort Wayne, IN 46825-6703 Ph: (260) 490-8352 |
Courtney Lesley Washington, Counselor Medicare: Accepting Medicare Assignments Practice Location: 909 E State Blvd, Fort Wayne, IN 46805 Phone: 260-481-2700 | |
Alicia Jean Digiulio, MA, MSED, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9417 Saint Joe Center Rd, Fort Wayne, IN 46835 Phone: 260-255-5289 | |
Jennifer Perry, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 909 E State Blvd, Fort Wayne, IN 46805 Phone: 260-481-2700 Fax: 260-481-2709 | |
Raphilla D Dixie, Counselor Medicare: Medicare Enrolled Practice Location: 3005 E State Blvd, Fort Wayne, IN 46805 Phone: 260-267-9498 Fax: 260-739-3618 | |
Timothy Jay Hill, MSED Counselor Medicare: Not Enrolled in Medicare Practice Location: 2100 Goshen Rd, Fort Wayne, IN 46808 Phone: 260-471-3500 | |
Mrs. Molly Christina Colglazier, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10102 Woodland Plaza Cv Ste A, Fort Wayne, IN 46825 Phone: 260-240-4200 | |
Rita Kay Self, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3010 E State Blvd, Fort Wayne, IN 46805 Phone: 260-471-2300 Fax: 260-471-2778 |