Horstmeyer-Grubb, Lori Lee

Horstmeyer-Grubb, Lori Lee is an sole proprietor health care provider with primary practice located at 1816 California Ave , Fort Wayne IN 46805-5024. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Horstmeyer-Grubb, Lori Lee can be contacted via phone (260) 750-9678.

Contact Information

Primary practice address
1816 California Ave Fort Wayne IN 46805-5024
Phone: (260) 750-9678
Fax: (260) 387-7413
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 39001483A Indiana

Profile Details

NPI number 1689679177
LBN Legal business name Horstmeyer-Grubb, Lori Lee
Credentials LMHC, BCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 20th, 2005
Last updated Apr 16th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689679177 NPPES
Indiana MEDICAID 200912670A

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