Organization
STEADFAST COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA BALL LCSW (OWNER)
(859) 475-3247
Entity
Organization
Contact information
Practice address
9417 SAINT JOE CENTER RD, FORT WAYNE, IN 46835-9259
(859) 475-3247
Mailing address
10515 HICKORY TREE RD, FORT WAYNE, IN 46845-1023
(859) 475-3247
(260) 264-5390
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/01/2023
Last updated
12/11/2023
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