Individual
ALEXIS VAUGHN NIEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3601 HOBSON RD STE 295, FORT WAYNE, IN 46815-4527
(260) 254-7073
(260) 240-2228
Mailing address
3601 HOBSON RD STE 295, FORT WAYNE, IN 46815-4527
(260) 254-7073
(260) 240-2228
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
88002857A
IN
Other
Enumeration date
02/27/2026
Last updated
02/27/2026
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