INSTILLING HOPE ADDICTION THERAPY LLC NPI 1861210247

NPI Information

  • NPI: 1861210247
  • Provider Name: INSTILLING HOPE ADDICTION THERAPY, LLC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Organization
  • Address: 1690 BROADWAY BLD 19 SUITE 10
    FORT WAYNE, IN
    ZIP 46802
  • Phone: (260) 409-8432

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NPI Details

INSTILLING HOPE ADDICTION THERAPY, LLC is an addiction (substance use disorder) counselor in Fort Wayne, IN. INSTILLING HOPE ADDICTION THERAPY, LLC NPI is 1861210247. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1690 BROADWAY BLD 19 SUITE 10
FORT WAYNE, IN
ZIP 46802-010
Phone: (260) 409-8432

The provider's authorized official is Terrell Jermaine Brown .
The authorized official title is Owner/ Clinical Addiction Therapist and has the following contact phone number (260) 234-9009.

The enumeration date for this NPI number is 10/2/2024 and was last updated on 10/2/2024.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)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: 11/21/2025

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