Mary Rose Lcsw, Llc

LBN: Mary Rose Lcsw, Llc
Mary Rose Lcsw, Llc is an health care organization with primary practice located at 1732 S Hadley Rd , Fort Wayne IN 46804-1458. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Mary Rose Lcsw, Llc can be contacted via phone (260) 438-4905, or through Draper, Mary Rose via phone (260) 438-4905.

Contact Information

Primary practice address
1732 S Hadley Rd Fort Wayne IN 46804-1458
Phone: (260) 438-4905
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Draper, Mary Rose Licensed Clinical Social Worker (LCSW)
Phone: (260) 438-4905

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1083399869
LBN Legal business name Mary Rose Lcsw, Llc
DBA Doing business as
Authorized official Draper, Mary Rose Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 19th, 2023
Last updated May 5th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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