Organization
EMBODIED MENTAL HEALTH COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELBY LAYNE LMHC (OWNER)
(260) 440-1001
Entity
Organization
Contact information
Practice address
127 W BERRY ST STE 311, FORT WAYNE, IN 46802-2310
(260) 440-1001
Mailing address
127 W BERRY ST STE 311, FORT WAYNE, IN 46802-2310
(260) 440-1001
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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