Foster Park Counseling LLC
Foster Park Counseling LLC is a Mental Health Counselor in Fort Wayne, Indiana. Registered with an NPI since 2022.
- In the registry since
- 2022
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1027 W Rudisill Blvd Ste 207Fort Wayne, IN 46807-2160
Phone: (260) 444-7200
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Clinic/Center (Including Community Mental Health Center) (primary) | Taxonomy 261QM0801X |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X |
Record details
| NPI number | 1407503238 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tracy Marshall Johnson — Counselor/Owner · (260) 444-7200 |
| NPI enumerated | March 2, 2022 |
| Last updated in NPPES | March 2, 2022 |
| Certification date | March 2, 2022 |
| Mailing address | 1027 W Rudisill Blvd Ste 207, Fort Wayne, IN 46807-2160 |
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