Organization
CARACONNECT COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH A WHITAKER LMHC (RENDERING PROVIDER)
(614) 774-8307
Entity
Organization
Contact information
Practice address
607 AIRPORT NORTH OFFICE PARK, FORT WAYNE, IN 46825-6706
(260) 200-3223
(260) 264-5366
Mailing address
607 AIRPORT NORTH OFFICE PARK, FORT WAYNE, IN 46825-6706
(260) 200-3223
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300046350
—
IN
Enumeration date
11/29/2022
Last updated
11/29/2022
Update your record
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