Healthcare Provider Details

I. General information

NPI: 1366314486
Provider Name (Legal Business Name): XCEPTED CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2025
Last Update Date: 09/19/2025
Certification Date: 09/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10319 DAWSONS CREEK BLVD STE J
FORT WAYNE IN
46825-1911
US

IV. Provider business mailing address

10319 DAWSONS CREEK BLVD STE J
FORT WAYNE IN
46825-1911
US

V. Phone/Fax

Practice location:
  • Phone: 260-927-3183
  • Fax: 260-818-2081
Mailing address:
  • Phone: 260-927-3183
  • Fax: 260-818-2081

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: SHERRIE A HANDSHOE
Title or Position: OWNER
Credential: LCSW
Phone: 260-927-3183