Organization
COURAGEOUS HEALING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANELL M LANE M.A., LMHC (CO-FOUNDER, COUNSELOR)
(260) 417-4801
Entity
Organization
Contact information
Practice address
528 W BERRY ST, FORT WAYNE, IN 46802-2104
(260) 417-4801
Mailing address
929 SHERWOOD DR, FORT WAYNE, IN 46819-2276
(260) 417-4801
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
39002596A
IN
251S00000X
Community/Behavioral Health Agency
Primary
39002596A
IN
Other
Enumeration date
05/14/2014
Last updated
05/14/2014
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