Organization
HEATH LISENBY, LLC
Active
Organization
HEATH LISENBY, LLC
Active
Other names
Lisenby Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEATH LISENBY D.MIN. (OWNER/DIRECTOR)
(260) 969-0288
Entity
Organization
Contact information
Practice address
6334 CONSTITUTION DR, FORT WAYNE, IN 46804-1518
(260) 443-3355
(260) 383-0302
Mailing address
6334 CONSTITUTION DR, FORT WAYNE, IN 46804-1518
(260) 443-3355
(260) 383-0302
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
39001625A
IN
Other
Enumeration date
01/09/2017
Last updated
01/09/2017
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