Healthcare Provider Details

I. General information

NPI: 1992221949
Provider Name (Legal Business Name): THE HAPPINESS PROJECT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8412 LEESBURG RD
FORT WAYNE IN
46818-9125
US

IV. Provider business mailing address

429 E DUPONT RD # 66
FORT WAYNE IN
46825-2051
US

V. Phone/Fax

Practice location:
  • Phone: 540-760-1820
  • Fax:
Mailing address:
  • Phone: 540-760-1820
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number39002947A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number39002947A
License Number StateIN

VIII. Authorized Official

Name: RUTH FEARNOW
Title or Position: OWNER
Credential: LMHC
Phone: 540-760-1820