Organization
SELF CARE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEPHORA LORTIE LMHC, LAC, MA (LICENSED THERAPIST/OWNER)
(260) 619-1603
Entity
Organization
Contact information
Practice address
535 AIRPORT NORTH OFFICE PARK, FORT WAYNE, IN 46825-6705
(260) 619-1603
(260) 818-2121
Mailing address
535 AIRPORT NORTH OFFICE PARK, FORT WAYNE, IN 46825-6705
(260) 619-1603
(260) 818-2121
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/17/2024
Last updated
04/17/2024
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