| Self Care Counseling, Llc | |
|
535 Airport North Office Park Fort Wayne IN 46825-6705 | |
| (260) 619-1603 | |
| (260) 818-2121 |
| Full Name | Self Care Counseling, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 535 Airport North Office Park, Fort Wayne, Indiana |
| Authorized Official Name and Position | Sephora Lortie (LICENSED THERAPIST/OWNER) |
| Authorized Official Contact | 2606191603 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Self Care Counseling, Llc 535 Airport North Office Park Fort Wayne IN 46825-6705 Ph: (260) 619-1603 | Self Care Counseling, Llc 535 Airport North Office Park Fort Wayne IN 46825-6705 Ph: (260) 619-1603 |
| NPI Number | 1588419253 |
|---|---|
| Provider Enumeration Date | 04/17/2024 |
| Last Update Date | 04/17/2024 |
| Certification Date | 04/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588419253 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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