Organization
BRENDA STOOPS COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA KAY LEE STOOPS LMHC (OWNER)
(260) 416-0600
Entity
Organization
Contact information
Practice address
10305 DAWSONS CREEK BLVD, SUITE C, FORT WAYNE, IN 46825-1914
(260) 416-0600
(260) 416-0601
Mailing address
10305 DAWSONS CREEK BLVD, SUITE C, FORT WAYNE, IN 46825-1914
(260) 416-0600
(260) 416-0601
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39001280A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200447760
—
IN
Enumeration date
01/12/2007
Last updated
08/08/2008
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