PROVIDENCE COUNSELING CENTER, INC.
NPI 1174619654
Social Worker - Clinical in Fort Wayne, IN

Active since October 04, 2006
10305 DAWSONS CREEK BLVD, SUITE C, FORT WAYNE, IN 46825(260) 418-6765(260) 416-0601 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Providence Counseling Center, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDENCE COUNSELING CENTER, INC. (NPI 1174619654) is a healthcare organization registered as a clinical in Fort Wayne, Indiana and active in the NPI registry since October 2006. The organization lists C Laudia D Davis, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1174619654
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NamePROVIDENCE COUNSELING CENTER, INC.
Location Address10305 DAWSONS CREEK BLVD, SUITE CFort Wayne, IN 46825-1914
Mailing AddressPo Box 5622Fort Wayne, IN 46895-5622 · (260) 418-6765 · Fax (260) 416-0601
Fax(260) 416-0601
Organization SubpartNo
Authorized OfficialC Laudia D DavisPresident/ceo · (260) 418-6765
Enumeration DateOctober 4, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1174619654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in IN · 34004602A
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
10305 DAWSONS CREEK BLVD, Fort Wayne, IN 46825

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

Counselor (Mental Health)
10305 DAWSONS CREEK BLVD, SUITE C
FORT WAYNE, IN 46825
Speech-Language Pathologist
10305 DAWSONS CREEK BLVD, STE F
FORT WAYNE, IN 46825
Physical Therapist
10305 DAWSONS CREEK BLVD, STE F
FORT WAYNE, IN 46825
Specialist
10305 DAWSONS CREEK BLVD, STE F
FORT WAYNE, IN 46825
Counselor (Mental Health)
10305 DAWSONS CREEK BLVD, SUITE C
FORT WAYNE, IN 46825
Counselor (Mental Health)
10305 DAWSONS CREEK BLVD, STE C
FORT WAYNE, IN 46825

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Providence Counseling Center, Inc.'s NPI number?

The NPI number for Providence Counseling Center, Inc. is 1174619654. It was assigned to this organization in the NPPES registry on October 4, 2006.

Where is Providence Counseling Center, Inc. located?

Providence Counseling Center, Inc. is located at 10305 Dawsons Creek Blvd Suite C, Fort Wayne, IN 46825. The listed phone number is (260) 418-6765.

What is Providence Counseling Center, Inc.'s specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Providence Counseling Center, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.