Blackbird Counseling, LLC
NPI #1356803936 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1356803936
- Entity Type
- Organization
- Organization Name
- Blackbird Counseling, LLC
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Apr 3, 2019
- Last Updated
- Oct 13, 2022
Practice Location
- Address
- 4646 W JEFFERSON BLVD STE 250
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46804-6832
- Phone
- (260) 627-9158
Authorized Official
- Name
- MRS. VICTORIA PROKOP, LMHC
- Title
- THERAPIST/OWNER
- Phone
- (260) 627-9158
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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