Indiana Center For Cognitive Behavior Therapy

LBN: Center For Brief Therapy Pc
Indiana Center For Cognitive Behavior Therapy is an health care organization with primary practice located at 423 Airport N. Office Park , Ft. Wayne IN 46825-6704. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Health Service, Behavioral Health & Social Service Providers / Prescribing (Medical), Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Prescribing (Medical) is the primary health care specialty. Center For Brief Therapy Pc can be contacted via phone (260) 969-5583, or through Freeman Clevenger, Sharon E via phone (260) 969-5583.

Contact Information

Primary practice address
423 Airport N. Office Park Ft. Wayne IN 46825-6704
Phone: (260) 969-5583
Fax: (260) 969-5584
Website:
Map and Directions
Authorized official contact:
Name: Freeman Clevenger, Sharon E PMHCNS-BC
Phone: (260) 969-5583

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Health Service 103TH0100X 20042050A Indiana
Behavioral Health & Social Service Providers / Prescribing (Medical) 103TP0016X 70000153A Indiana
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 35001565A Indiana

Profile Details

NPI number 1285839480
LBN Legal business name Center For Brief Therapy Pc
DBA Doing business as Indiana Center For Cognitive Behavior Therapy
Authorized official Freeman Clevenger, Sharon E PMHCNS-BC
Entity Organization
Organization subpart 1 No
Enumeration date Jun 18th, 2007
Last updated Apr 23rd, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285839480 NPPES
Indiana Other 7585825 AETNA
Indiana Other 376137 AETNA
Indiana Other 386107 AETNA

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