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

National Youth Advocate Program, Inc

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1487112751

National Youth Advocate Program, Inc is a Mental Health Clinic/Center (Including Community Mental Health Center) in Fort Wayne, Indiana. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2200 Lake Ave Ste 225
Fort Wayne, IN 46805-5364
Phone: (260) 702-0360
Fax: (260) 818-2300
Show map & directions

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

Record details

NPI number1487112751
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michelle Lizardi — Medicaid Billing Specialist Ii · (614) 227-9430
NPI enumeratedMarch 6, 2019
Last updated in NPPESMay 7, 2020
Certification dateMay 7, 2020
Mailing address1801 Watermark Dr Ste 200, Columbus, OH 43215-7088

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