Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ivy Bridge Therapy LLC

Organization Mental Health Counselor · NPI 1891631073

Ivy Bridge Therapy LLC provides Mental Health Counselor services in Fort Wayne, Indiana. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4646 W Jefferson Blvd Ste 230
Fort Wayne, IN 46804
Phone: (260) 267-5491
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1891631073
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Hannah Loga — Founder · (812) 630-8892
NPI enumeratedApril 28, 2026
Last updated in NPPESApril 28, 2026
Certification dateApril 18, 2026
Mailing address5534 Saint Joe Rd, Fort Wayne, IN 46835-3328

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