| Steadfast Counseling Llc | |
|
9417 Saint Joe Center Rd Fort Wayne IN 46835-9259 | |
| (859) 475-3247 | |
| Not Available |
| Full Name | Steadfast Counseling Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9417 Saint Joe Center Rd, Fort Wayne, Indiana |
| Authorized Official Name and Position | Diana Ball (OWNER) |
| Authorized Official Contact | 8594753247 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Steadfast Counseling Llc 10515 Hickory Tree Rd Fort Wayne IN 46845-1023 Ph: (859) 475-3247 | Steadfast Counseling Llc 9417 Saint Joe Center Rd Fort Wayne IN 46835-9259 Ph: (859) 475-3247 |
| NPI Number | 1538935325 |
|---|---|
| Provider Enumeration Date | 12/01/2023 |
| Last Update Date | 12/11/2023 |
| Certification Date | 12/11/2023 |
| Medicare PECOS PAC ID | 0143767012 |
|---|---|
| Medicare Enrollment ID | O20240809000141 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538935325 | NPI | - | NPPES |
| Provider Name | Diana Ball |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083995773 PECOS PAC ID: 2466785019 Enrollment ID: I20240809000224 |
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