| Live Oak Therapy Llc | |
|
1018 Delaware Ave Fort Wayne IN 46805-3455 | |
| (260) 222-8381 | |
| Not Available |
| Full Name | Live Oak Therapy Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1018 Delaware Ave, Fort Wayne, Indiana |
| Authorized Official Name and Position | Naomi C Rainwater (CEO) |
| Authorized Official Contact | 2602228381 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Live Oak Therapy Llc 1018 Delaware Ave Fort Wayne IN 46805-3455 Ph: (260) 222-8381 | Live Oak Therapy Llc 1018 Delaware Ave Fort Wayne IN 46805-3455 Ph: (260) 222-8381 |
| NPI Number | 1689527632 |
|---|---|
| Provider Enumeration Date | 02/18/2026 |
| Last Update Date | 02/18/2026 |
| Certification Date | 02/18/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689527632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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