Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bosley Enterprises LLC

Organization Mental Health Counselor · NPI 1457183139

Bosley Enterprises LLC is a Mental Health Counselor in Fort Wayne, Indiana. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

405 Airport N Ofc Park
Fort Wayne, IN 46825-6704
Phone: (260) 440-0770
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1457183139
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Raphael Bosley — Owner · (260) 440-0770
NPI enumeratedAugust 20, 2024
Last updated in NPPESAugust 20, 2024
Certification dateAugust 20, 2024
Mailing address1109 Woodland Xing, Fort Wayne, IN 46825-7239

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