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Organization
FORT WAYNE MENTAL HEALTH THERAPY LLC
Active
Organization
FORT WAYNE MENTAL HEALTH THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALYSE PIAZZA LMHC. (CEO)
(260) 385-8744
Entity
Organization
Contact information
Practice address
6319 MUTUAL DR STE F, FORT WAYNE, IN 46825-4246
(260) 209-4388
Mailing address
6319 MUTUAL DR STE F, FORT WAYNE, IN 46825-4246
(260) 209-4388
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/04/2026
Last updated
08/04/2026
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