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

Ivy Bridge Therapy LLC

Organization Mental Health Counselor · NPI 1891631073

Ivy Bridge Therapy LLC is a Mental Health Counselor in Fort Wayne, Indiana. Registered with an NPI since 2026.

In the registry since
2026
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

4646 W Jefferson Blvd Ste 230
Fort Wayne, IN 46804
Phone: (260) 267-5491
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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 number1891631073
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Hannah Loga — Founder · (812) 630-8892
NPI enumeratedApril 28, 2026
Last updated in NPPESApril 28, 2026
Certification dateApril 18, 2026
Mailing address5534 Saint Joe Rd, Fort Wayne, IN 46835-3328

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