Healthcare Provider Details

I. General information

NPI: 1447179973
Provider Name (Legal Business Name): TINA A. WESTMAN LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TINA CHRISTIAN

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6316 MUTUAL DR
FORT WAYNE IN
46825-4259
US

IV. Provider business mailing address

6316 MUTUAL DR
FORT WAYNE IN
46825-4259
US

V. Phone/Fax

Practice location:
  • Phone: 260-484-9560
  • Fax: 260-484-9572
Mailing address:
  • Phone: 260-484-9560
  • Fax: 260-484-9572

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number39006083A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: