Healthcare Provider Details

I. General information

NPI: 1285550020
Provider Name (Legal Business Name): WENDY GRIFFIN ALLEN LMFT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 RED EAGLE PASS
FORT WAYNE IN
46845-1177
US

IV. Provider business mailing address

429 E DUPONT RD # 215
FORT WAYNE IN
46825-2051
US

V. Phone/Fax

Practice location:
  • Phone: 260-247-6794
  • Fax:
Mailing address:
  • Phone: 260-247-6794
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: WENDY GRIFFIN-ALLEN
Title or Position: LMFT
Credential: LMFT
Phone: 260-247-6794