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NPI Code Detail

MEDICARE: FARRINGTON SPECIALTY COUNSELING INC.

MEDICARE: FARRINGTON SPECIALTY COUNSELING INC.
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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)34005659AIN

General Provider Information

NPI Number : 1326286444
Entity Type Code : Organization
Provider Name (Legal Business Name) : FARRINGTON SPECIALTY COUNSELING INC.
Provider Business Mailing Address
First Line : 3044 W 1100 N
Second Line :
City : HUNTINGTON
State : IN
Zip : 46750-9755
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3142 MALLARD COVE LN
Second Line :
City : FORT WAYNE
State : IN
Zip : 46804-2882
Country : US
Telephone Number : 260-358-7180
Fax Number : 260-755-5731
Authorized Official
Title or Position : THERAPIST
Name : MRS. BROOKE C. E. FARRINGTON
Credential : C.E.D.S., L.C.S.W.
Telephone Number : 260-358-7180
Provider Enumeration Date : 01/27/2009
Last Update Date : 11/09/2016

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