Organization
RDR DEVINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE DEVINE (OWNER)
(260) 452-5347
Entity
Organization
Contact information
Practice address
6157 STONEY CREEK DR, FORT WAYNE, IN 46825-4409
(260) 570-4515
(260) 209-0762
Mailing address
6157 STONEY CREEK DR, FORT WAYNE, IN 46825-4409
(260) 570-4513
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
07/21/2020
Last updated
04/30/2025
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