# JOAN LOUISE PONTIUS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336574748
- **Authorized official:** MS. JOAN LOUISE PONTIUS LMHC (THERAPIST)
- **Authorized official phone:** (574) 360-3305

## Contact information

- **Practice address:** 219 N DIXIE WAY, SUITE135, SOUTH BEND, IN 46637-3369
- **Practice address phone:** (574) 360-3305
- **Practice address fax:** (574) 271-3740
- **Mailing address:** 219 N DIXIE WAY, SUITE135, SOUTH BEND, IN 46637-3369
- **Mailing address phone:** (574) 360-3305
- **Mailing address fax:** (574) 271-3740

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | — | IN | Yes |
| 2084P0800X | Psychiatry Physician | — | IN | — |

## Other

- **Enumeration date:** 09/05/2013
- **Last updated:** 09/05/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1700138492 | — | IN |