# INSTILLING HOPE ADDICTION THERAPY, LLC

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

## Provider details

- **NPI number:** 1861210247
- **Authorized official:** TERRELL JERMAINE BROWN BA, MS, MA, LCAC (OWNER/ CLINICAL ADDICTION THERAPIST)
- **Authorized official phone:** (260) 234-9009

## Contact information

- **Practice address:** 110 E WAYNE ST FL 12, FORT WAYNE, IN 46802-2611
- **Practice address phone:** (260) 409-8432
- **Mailing address:** 110 E WAYNE ST FL 12, FORT WAYNE, IN 46802-2611
- **Mailing address phone:** (260) 409-8432

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |

## Other

- **Enumeration date:** 10/02/2024
- **Last updated:** 05/18/2026