| Phaecia A. Ward, Lcsw Counseling And Consulting Services, Llc | |
|
4406 Atwood Dr Fort Wayne IN 46806-4916 | |
| (260) 600-7045 | |
| Not Available |
| Full Name | Phaecia A. Ward, Lcsw Counseling And Consulting Services, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4406 Atwood Dr, Fort Wayne, Indiana |
| Authorized Official Name and Position | Phaecia A Ward (OWNER) |
| Authorized Official Contact | 2606007045 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phaecia A. Ward, Lcsw Counseling And Consulting Services, Llc 4406 Atwood Dr Fort Wayne IN 46806-4916 Ph: (260) 600-7045 | Phaecia A. Ward, Lcsw Counseling And Consulting Services, Llc 4406 Atwood Dr Fort Wayne IN 46806-4916 Ph: (260) 600-7045 |
| NPI Number | 1013585777 |
|---|---|
| Provider Enumeration Date | 06/17/2021 |
| Last Update Date | 06/17/2021 |
| Certification Date | 06/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013585777 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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