Fellows, Audrey Renee
Fellows, Audrey Renee is an individual health care provider with primary practice located at 912 E Lasalle Ave , South Bend IN 46617-2817. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Fellows, Audrey Renee can be contacted via phone (574) 231-8000.Contact Information
Primary practice address
912 E Lasalle Ave
South Bend IN 46617-2817
Phone: (574) 231-8000
Fax: (574) 231-8013
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 39003063A | Indiana |
Profile Details
| NPI number | 1497272975 |
|---|---|
| LBN Legal business name | Fellows, Audrey Renee |
| Credentials | L.M.H.C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2017 |
| Last updated | Jul 21st, 2022 - about 4 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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