MIDWEST ADDICTION PSYCHIATRIC & PSYCHOLOGICAL SERVICES LLC

FORT WAYNE, IN
NPI1336190149
Doing Business AsMAPPS
Entity TypeOrganization
Authorized ContactDON A MARSHALL
Owner
260-456-7261
Organization Subpart ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IN  14060ASO)
Additional Taxonomies101YM0800X Counselor, Mental Health
(Licence: IN  14060ASO)
103T00000X Psychologist
(Licence: IN  14060ASO)
103TA0400X Psychologist, Addiction (Substance Use Disorder)
(Licence: IN  14060ASO)
103TB0200X Psychologist, Cognitive & Behavioral
(Licence: IN  14060ASO)
103TC2200X Psychologist, Clinical Child & Adolescent
(Licence: IN  14060ASO)
103TF0200X Psychologist, Forensic
(Licence: IN  14060ASO)
1041C0700X Social Worker, Clinical
(Licence: IN  14060ASO)
106H00000X Marriage & Family Therapist
(Licence: IN  14060ASO)
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: IN  14060ASO)
2084P0802X Psychiatry & Neurology, Addiction Psychiatry
(Licence: IN  14060ASO)
Enumeration Date2006-05-15
Last Update Date2018-03-02
Business Address
MIDWEST ADDICTION PSYCHIATRIC & PSYCHOLOGICAL SERVICES LLC
3010 E. STATE BLVD STE 100
FORT WAYNE, IN 46805
Phone number: 260-471-0632
Mailing Address
MIDWEST ADDICTION PSYCHIATRIC & PSYCHOLOGICAL SERVICES LLC
3010 E STATE BLVD SUTIE A
FORT WAYNE, IN 46805-4700
Phone number: 260-471-0632