Organization
INFINITE JOURNEY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMELLA NICOLE O'NEAL LMFT (OWNER)
(256) 433-9273
Entity
Organization
Contact information
Practice address
9910 DUPONT CIRCLE DR E, STE 140, FORT WAYNE, IN 46825-1617
(260) 433-9273
Mailing address
1121 MAXINE DR, FORT WAYNE, IN 46807-2522
(260) 433-9273
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
35001854A
IN
Other
Enumeration date
09/09/2016
Last updated
09/09/2016
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