BOSLEY ENTERPRISES LLC NPI 1457183139

NPI Information

  • NPI: 1457183139
  • Provider Name: BOSLEY ENTERPRISES LLC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 405 AIRPORT NORTH OFFICE PARK
    FORT WAYNE, IN
    ZIP 46825
  • Phone: (260) 440-0770

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NPI Details

BOSLEY ENTERPRISES LLC is a mental health counselor in Fort Wayne, IN. BOSLEY ENTERPRISES LLC NPI is 1457183139. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

405 AIRPORT NORTH OFFICE PARK
FORT WAYNE, IN
ZIP 46825-704
Phone: (260) 440-0770

The provider's authorized official is Raphael Bosley .
The authorized official title is Owner and has the following contact phone number (260) 440-0770.

The enumeration date for this NPI number is 8/20/2024 and was last updated on 8/20/2024.

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
1101YM0800XCounselorMental HealthYes

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: 11/21/2025

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