| Danny Anderson Counseling Services Llc | |
|
10351 Dawsons Creek Blvd Ste J Fort Wayne IN 46825-1961 | |
| (260) 615-6609 | |
| (260) 264-6779 |
| Full Name | Danny Anderson Counseling Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 10351 Dawsons Creek Blvd Ste J, Fort Wayne, Indiana |
| Authorized Official Name and Position | Danny M Anderson (MEMBER/OWNER) |
| Authorized Official Contact | 2604134140 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Danny Anderson Counseling Services Llc 10351 Dawsons Creek Blvd Ste J Fort Wayne IN 46825-1961 Ph: (260) 615-6609 | Danny Anderson Counseling Services Llc 10351 Dawsons Creek Blvd Ste J Fort Wayne IN 46825-1961 Ph: (260) 615-6609 |
| NPI Number | 1194435388 |
|---|---|
| Provider Enumeration Date | 11/29/2022 |
| Last Update Date | 08/05/2024 |
| Certification Date | 08/05/2024 |
| Medicare PECOS PAC ID | 5193265882 |
|---|---|
| Medicare Enrollment ID | O20240909002981 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194435388 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Danny Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043944176 PECOS PAC ID: 0648710335 Enrollment ID: I20240909002967 |
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