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

Providence Counseling Center, Inc

Organization Clinical Social Worker · NPI 1174619654

Providence Counseling Center, Inc is a Clinical Social Worker in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006
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

10305 Dawsons Creek Blvd Ste C
Fort Wayne, IN 46825-1914
Phone: (260) 418-6765
Fax: (260) 416-0601
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 34004602A (IN)

Record details

NPI number1174619654
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official C Laudia Davis — President/Ceo · (260) 418-6765
NPI enumeratedOctober 4, 2006
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 5622, Fort Wayne, IN 46895-5622

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