Organization
LISA HELLER, LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA HELLER LCSW (PRESIDENT)
(260) 437-9022
Entity
Organization
Contact information
Practice address
10315 DAWSONS CREEK BLVD STE E, FORT WAYNE, IN 46825-1912
(260) 437-9022
Mailing address
10315 DAWSONS CREEK BLVD STE E, FORT WAYNE, IN 46825-1912
(260) 437-9022
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
34002636A
IN
Other
Enumeration date
07/19/2016
Last updated
07/19/2016
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