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Center For Brief Therapy Pc
Marriage & Family Therapist in Ft. Wayne, Indiana
NPI 1285839480

Center For Brief Therapy Pc is a Marriage & Family Therapist based in Fort. Wayne, IN. Center For Brief Therapy Pc practices in Ft. Wayne, IN. The NPI Number for Center For Brief Therapy Pc is 1285839480 and holds a License No. 20042050A (Indiana).

The current practice location address for Center For Brief Therapy Pc is 423 Airport N. Office Park, Ft. Wayne, IN and can be reached out via phone at 260-969-5583 and via fax at 260-969-5584.

Location: 423 Airport N. Office Park, Ft. Wayne, IN, 46825-6704
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1285839480
Provider Name
Center For Brief Therapy Pc
Credential
Provider Entity Type
Organization
Address
423 Airport N. Office Park, Ft. Wayne, IN, 46825-6704
Phone Number
260-969-5583
Fax Number
260-969-5584
Provider Enumeration Date
06/18/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7585825 01 IN AETNA
376137 01 IN ANTHEM
386107 01 IN ANTHEM
institution
Provider Business Practice Location Address Details
Address
423 Airport N. Office Park
City
Ft. Wayne
State
Indiana
Zip
46825-6704
Phone Number
260-969-5583
Fax Number
260-969-5584
person
Provider Business Mailing Address Details
Address
423 Airport N. Office Park
City
Ft. Wayne
State
Indiana
Zip
46825-6704
Phone Number
260-969-5583
Fax Number
260-969-5584
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Health Service
Taxonomy
103TH0100X
License No.
35001565A (Indiana)
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Prescribing (Medical)
Taxonomy
103TP0016X
License No.
70000153A (Indiana)
Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
20042050A (Indiana)
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
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