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FAMILY CARE CENTER NPI 1407877657


NPI Information

NPI: 1407877657
Provider Name: FAMILY CARE CENTER
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
2821 HILLEGAS RD
FORT WAYNE, IN
ZIP 46808
Phone: (260) 471-1950
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FAMILY CARE CENTER is a mental health counselor in Fort Wayne, IN. FAMILY CARE CENTER NPI is 1407877657. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2821 HILLEGAS RD
FORT WAYNE, IN
ZIP 46808-859
Phone: (260) 471-1950
Fax: (260) 471-1950

The provider's authorized official is Carly R Hawks .
The authorized official title is Office Manager and has the following contact phone number (260) 471-1950.

The enumeration date for this NPI number is 7/22/2006 and was last updated on 8/26/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2103G00000XClinical NeuropsychologistNo
3103T00000XPsychologistNo
41041C0700XSocial WorkerClinicalNo
5106H00000XMarriage & Family TherapistNo
6101YM0800XCounselorMental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1200530260AMEDICAIDINDIANA
2202080MEDICARE PININDIANA

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: 11/14/2023

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