Organization
NORTH NODE WELLNESS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY A BAILEY LCSW (OWNER, CEO)
(260) 705-4395
Entity
Organization
Contact information
Practice address
8701 WATERWOOD CT, FORT WAYNE, IN 46804-8410
(260) 705-4395
Mailing address
8701 WATERWOOD CT, FORT WAYNE, IN 46804-8410
(260) 705-4395
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34005563A
IN
Other
Enumeration date
01/11/2014
Last updated
01/11/2014
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