MEDICARE: ELLA ANGELIQUE D CAUSEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101YM0800X	Mental Health Counselor
2	104100000X	Social Worker
3	101Y00000X	Counselor

General Provider Information

NPI Number	:	1679244115
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELLA ANGELIQUE D CAUSEY

Provider Business Mailing Address
First Line	:	6030 E STATE BLVD
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46815-7639
Country	:	US
Telephone Number	:	260-452-0554
Fax Number	:

Provider Business Practice Location Address
First Line	:	6030 E STATE BLVD
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46815-7639
Country	:	US
Telephone Number	:	260-452-0554
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/24/2021
Last Update Date	:	09/24/2021

Similar Medicare Providers

1942369194 — KENNETH A. BUNDZA AND SHERWIN Y. KEPES
Practice Location Address:

6026 E STATE BLVD
FORT WAYNE, IN
46815-7639

Practice Phone: 260-749-8419
Practice Fax: 260-749-0553

1467661041 — STANLEY A. YOUNG D.D.S. P.C.
Practice Location Address:

6038 E STATE BLVD
FORT WAYNE, IN
46815-7639

Practice Phone: 260-493-3526
Practice Fax: 260-749-8033

1144415886 — DR. SHERWIN Y. KEPES PH.D.
Practice Location Address:

6026 E STATE BLVD
FORT WAYNE, IN
46815-7639

Practice Phone: 260-749-8419
Practice Fax: 260-749-0335

1174295489 — PERSONAL CONTROL AND WELLNESS CONSULTING GROUP LLC
Practice Location Address:

6030 E STATE BLVD
FORT WAYNE, IN
46815-7639

Practice Phone: 260-452-0554
Practice Fax:

1851168801 — MS. ANGELIQUE EMILY WILSON
Practice Location Address:

6030 E STATE BLVD
FORT WAYNE, IN
46815-7639

Practice Phone: 260-245-6374
Practice Fax:

1750158705 — MRS. ANTIA MARIE PAYTON
Practice Location Address:

6030 E STATE BLVD
FORT WAYNE, IN
46815-7639

Practice Phone: 260-245-6374
Practice Fax:

Directions to “ ELLA ANGELIQUE D CAUSEY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.