Organization
MINDY TIBURCIO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELINDA TIBURCIO MA (OWNER)
(260) 557-8533
Entity
Organization
Contact information
Practice address
1910 SAINT JOE CENTER RD STE 64, FORT WAYNE, IN 46825-5000
(260) 557-8533
Mailing address
1910 SAINT JOE CENTER RD STE 64, FORT WAYNE, IN 46825-5000
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/17/2025
Last updated
09/17/2025
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