LISA MICHELLE FIRESTINE LMHC
NPI 1013738749
Counselor - Mental Health in Fort Wayne, IN
Active since October 24, 2024
About Lisa Michelle Firestine Lmhc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISA MICHELLE FIRESTINE LMHC (NPI 1013738749) is an individual mental health provider in Fort Wayne, Indiana, licensed in Indiana (39002689A) and active in the NPI registry since October 2024.
NPPES Registry Identity
NPI1013738749
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLISA MICHELLE FIRESTINECredential: LMHC
Location Address6157 STONEY CREEK DRFort Wayne, IN 46825-4409
Mailing Address3715 Indiana AveFort Wayne, IN 46807-2213 · (260) 849-2041
Phone(260) 570-4515
Sole ProprietorNo
Enumeration DateOctober 24, 2024
NPPES CertifiedOctober 24, 2024
✔ NPI 1013738749 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IN · 39002689A
6157 STONEY CREEK DR, Fort Wayne, IN 46825
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013738749, enumerated as an "individual" on October 24, 2024.
The provider is located at 6157 STONEY CREEK DR FORT WAYNE, IN 46825 and the phone number is (260) 570-4515.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
