Organization
BAY MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THADDEUS JAMES BAY LCSW (THERAPIST/OWNER)
(260) 242-6643
Entity
Organization
Contact information
Practice address
10331 DAWSONS CREEK BLVD STE D, FORT WAYNE, IN 46825-1908
(260) 525-5807
Mailing address
312 OLD BOG RD, AVILLA, IN 46710-9458
(260) 242-6643
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/20/2022
Last updated
05/20/2022
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