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

Providence Counseling Center, Inc

Organization Clinical Social Worker · NPI 1174619654

Providence Counseling Center, Inc provides Clinical Social Worker services in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10305 Dawsons Creek Blvd Ste C
Fort Wayne, IN 46825-1914
Phone: (260) 418-6765
Fax: (260) 416-0601
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 34004602A (IN)

Record details

NPI number1174619654
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official C Laudia Davis — President/Ceo · (260) 418-6765
NPI enumeratedOctober 4, 2006
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 5622, Fort Wayne, IN 46895-5622

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