ALLENDALE ACADEMY LLC NPI 1356007934

NPI Information

NPI: 1356007934
Provider Name: ALLENDALE ACADEMY LLC
Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

Address:
454 E DUPONT RD
FORT WAYNE, IN
ZIP 46825
Phone: (239) 888-4910
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ALLENDALE ACADEMY LLC is an adolescent and children mental health clinic center in Fort Wayne, IN. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. ALLENDALE ACADEMY LLC NPI is 1356007934. The provider is registered as an organization entity type.

The provider's business location address is:

454 E DUPONT RD
FORT WAYNE, IN
ZIP 46825-050
Phone: (239) 888-4910

The provider's authorized official is Adam Hochberg .
The authorized official title is Owner and has the following contact phone number (239) 888-4910.

The enumeration date for this NPI number is 11/9/2021 and was last updated on 11/9/2021.

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
1	3245S0500X	Substance Abuse Rehabilitation Facility	Substance Abuse Treatment, Children			No
2	261QM0855X	Clinic/Center	Adolescent and Children Mental Health			Yes

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: 4/28/2024

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