Organization
CORE DYNAMICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY LEE WILLIAMS MA, LMHC, BCPPC (OWNER)
(260) 417-3051
Entity
Organization
Contact information
Practice address
10315 DAWSONS CREEK BLVD STE E, FORT WAYNE, IN 46825-1912
(260) 387-6340
(260) 387-6984
Mailing address
1590 CARRINGTON WAY, BERNE, IN 46711-2074
(260) 417-3051
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
39000527A
IN
Other
Enumeration date
01/14/2015
Last updated
01/14/2015
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