Faenza, Charles R

Faenza, Charles R is an individual health care provider with primary practice located at 1409 E 84Th Pl , Merrillville IN 46410-6451. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Faenza, Charles R can be contacted via phone (219) 794-2000.

Contact Information

Primary practice address
1409 E 84Th Pl Merrillville IN 46410-6451
Phone: (219) 794-2000
Fax: (219) 794-2010
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 86000141A Indiana
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 39001529A Indiana

Profile Details

NPI number 1982974903
LBN Legal business name Faenza, Charles R
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2012
Last updated Jan 6th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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