Organization
BLACKBIRD COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICTORIA PROKOP LMHC (THERAPIST/OWNER)
(260) 627-9158
Entity
Organization
Contact information
Practice address
5726 COVENTRY LN, FORT WAYNE, IN 46804-7141
(260) 627-9158
Mailing address
5726 COVENTRY LN, FORT WAYNE, IN 46804-7141
(260) 627-9158
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/03/2019
Last updated
02/11/2026
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