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

Southwest Mental Health LLC

Organization Mental Health Counselor · NPI 1497430177

Southwest Mental Health LLC is a Mental Health Counselor in Fort Wayne, Indiana. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
3
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

4656 W Jefferson Blvd Ste 285
Fort Wayne, IN 46804-6838
Phone: (260) 422-9372
Fax: (260) 422-0843
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X
Mental Health Counselor Taxonomy 101YM0800X
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1497430177
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christine Potter — Office Manager · (260) 422-9372
Other names Gerard, Coslow & Tiekler-Sharpe Associates
NPI enumeratedJune 20, 2023
Last updated in NPPESJune 20, 2023
Certification dateJune 20, 2023
Mailing address4656 W Jefferson Blvd Ste 285, Fort Wayne, IN 46804-6838

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