DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: AMI DANIELLE FAIR

MEDICARE: AMI DANIELLE FAIR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1221700000XArt Therapist
2101YM0800XMental Health Counselor39005230AIN

General Provider Information

NPI Number : 1104324821
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMI DANIELLE FAIR
Provider Business Mailing Address
First Line : 2729 ROCKNE DR
Second Line :
City : SOUTH BEND
State : IN
Zip : 46615-3436
Country : US
Telephone Number : 248-703-6016
Fax Number :
Provider Business Practice Location Address
First Line : 3220 E JEFFERSON BLVD
Second Line :
City : SOUTH BEND
State : IN
Zip : 46615-3028
Country : US
Telephone Number : 574-222-2466
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2018
Last Update Date : 12/04/2024

Similar Medicare Providers

1700090677 — DR. JENNIFER S. KNAPP D.O.
Practice Location Address:
3220 E JEFFERSON BLVD
SOUTH BEND, IN
46615-3028
Practice Phone: 574-222-2466
Practice Fax: 574-222-2468
1639358161 — MS. KIMBERLY SUE WASOSKI LMHC, LCAC
Practice Location Address:
3220 E JEFFERSON BLVD
SOUTH BEND, IN
46615-3028
Practice Phone: 574-222-2466
Practice Fax: 574-222-2468
1861670697 — AMANDA L RHOADES LCSW
Practice Location Address:
3220 E JEFFERSON BLVD
SOUTH BEND, IN
46615-3028
Practice Phone: 574-222-2466
Practice Fax: 574-222-2468
1780862532 — JESSICA A KINDIG LMHC
Practice Location Address:
3220 E JEFFERSON BLVD
SOUTH BEND, IN
46615-3028
Practice Phone: 574-222-2466
Practice Fax:
1285947770 — DR. HEATHER HOLLEMAN PH.D., HSPP
Practice Location Address:
3220 E JEFFERSON BLVD
SOUTH BEND, IN
46615-3028
Practice Phone: 574-339-4832
Practice Fax: 574-222-2468
1740724434 — COURTNEY KAUCHAK MSW, LCSW
Practice Location Address:
3220 E JEFFERSON BLVD
SOUTH BEND, IN
46615-3028
Practice Phone: 574-222-2466
Practice Fax:

Directions to “ AMI DANIELLE FAIR ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.