Southwest Mental Health LLC
NPI #1497430177 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1497430177
- Entity Type
- Organization
- Organization Name
- Southwest Mental Health LLC
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- Jun 20, 2023
- Last Updated
- Jun 20, 2023
Practice Location
- Address
- 4656 W JEFFERSON BLVD STE 285
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46804-6838
- Phone
- (260) 422-9372
Authorized Official
- Name
- CHRISTINE POTTER
- Title
- OFFICE MANAGER
- Phone
- (260) 422-9372
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
| Counselor - Mental Health — Mental Health |
| Psychologist - Clinical — Clinical |
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