| A.w. Holdings, Llc | |
|
3900 Hursh Rd Fort Wayne IN 46845-9677 | |
| (260) 637-3608 | |
| Not Available |
| Full Name | A.w. Holdings, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3900 Hursh Rd, Fort Wayne, Indiana |
| Authorized Official Name and Position | Nancy Ann Bobay (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Contact | 2602075604 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A.w. Holdings, Llc 8515 Bluffton Rd Fort Wayne IN 46809-3022 Ph: (260) 744-6145 | A.w. Holdings, Llc 3900 Hursh Rd Fort Wayne IN 46845-9677 Ph: (260) 637-3608 |
| NPI Number | 1013578749 |
|---|---|
| Provider Enumeration Date | 06/24/2019 |
| Last Update Date | 06/24/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013578749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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