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Organization

SOUTHWEST MENTAL HEALTH LLC

Active
Other names
Gerard, Coslow & Tiekler-Sharpe Associates
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTINE POTTER (OFFICE MANAGER)
(260) 422-9372
Entity
Organization

Contact information

Practice address
4656 W JEFFERSON BLVD STE 285, FORT WAYNE, IN 46804-6838
(260) 422-9372
(260) 422-0843
Mailing address
4656 W JEFFERSON BLVD STE 285, FORT WAYNE, IN 46804-6838

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103TC0700X
Clinical Psychologist
Primary
1041C0700X
Clinical Social Worker

Other

Enumeration date
06/20/2023
Last updated
06/20/2023
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