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CHRISTINA STAPLETON L.L.C NPI 1003205998

NPI Profile

NPI: 1003205998
Provider Name: CHRISTINA STAPLETON, L.L.C
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
10315 DAWSONS CREEK BLVD # 12
FORT WAYNE, IN
ZIP 46825
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Phone: (260) 387-6340

CHRISTINA STAPLETON, L.L.C is a mental health (including community mental health center) clinic center in Fort Wayne, IN. CHRISTINA STAPLETON, L.L.C NPI is 1003205998. The provider is registered as an organization entity type.

The provider's business location address is:

10315 DAWSONS CREEK BLVD # 12
FORT WAYNE, IN
ZIP 46825-912
Phone: (260) 387-6340

The provider's authorized official is Christina Nicole Stapleton .
The authorized official title is Counselor and has the following contact phone number (765) 243-9416.

The enumeration date for this NPI number is 1/14/2015 and was last updated on 1/14/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)39002095AINDIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 12/5/2020

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