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

Ujima Therapeutic Services

Organization Addiction (Substance Use Disorder) Counselor · NPI 1275126955

Ujima Therapeutic Services is an Addiction (Substance Use Disorder) Counselor in Fort Wayne, Indiana. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
5

Practice location Address checks out

2250 Lake Ave Ste 270
Fort Wayne, IN 46805-5352
Phone: (260) 418-6080
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X
Community/Behavioral Health Agency Taxonomy 251S00000X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X
Adult Mental Health Clinic/Center Taxonomy 261QM0850X
Adolescent and Children Mental Health Clinic/Center Taxonomy 261QM0855X

Record details

NPI number1275126955
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Olinka Clark — Executive Director · (260) 418-6080
NPI enumeratedFebruary 14, 2021
Last updated in NPPESFebruary 15, 2021
Certification dateFebruary 15, 2021
Mailing address2250 Lake Ave Ste 270, Fort Wayne, IN 46805-5352

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