EVAN LINEHAN
NPI 1922695717
Counselor - Addiction (Substance Use Disorder) in Fort Wayne, IN
Active since December 28, 2020
About Evan Linehan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EVAN LINEHAN (NPI 1922695717) is an individual addiction (substance use disorder) provider in Fort Wayne, Indiana and active in the NPI registry since December 2020.
NPPES Registry Identity
NPI1922695717
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameEVAN LINEHAN
Location Address3910 LIMA RDFort Wayne, IN 46805-1031
Mailing Address3910 Lima RdFort Wayne, IN 46805-1031 · (260) 420-6010 · Fax (260) 420-9020
Phone(260) 420-6010
Fax(260) 420-9020
Sole ProprietorNo
Enumeration DateDecember 28, 2020
NPPES CertifiedDecember 28, 2020
✔ NPI 1922695717 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
3910 LIMA RD, Fort Wayne, IN 46805
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Addiction (Substance Use Disorder))
3910 LIMA RD
FORT WAYNE, IN 46805
FORT WAYNE, IN 46805
Counselor (Addiction (Substance Use Disorder))
3910 LIMA RD
FORT WAYNE, IN 46805
FORT WAYNE, IN 46805
Counselor (Addiction (Substance Use Disorder))
3910 LIMA RD
FORT WAYNE, IN 46805
FORT WAYNE, IN 46805
Counselor (Addiction (Substance Use Disorder))
3910 LIMA RD
FORT WAYNE, IN 46805
FORT WAYNE, IN 46805
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1922695717, enumerated as an "individual" on December 28, 2020.
The provider is located at 3910 LIMA RD FORT WAYNE, IN 46805 and the phone number is (260) 420-6010.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).