Phaecia a. Ward, LCSW Counseling and Consulting Services, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

PHAECIA A. WARD, LCSW COUNSELING AND CONSULTING SERVICES, LLC

Doing business as

yourphayvoritetherapist

Practice address

4406 Atwood Dr
Fort Wayne, IN 46806-4916

Phone

(260) 600-7045

NPI assigned

Jun 17, 2021

Last updated

Jun 17, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Phaecia A Ward, LCSWNPI 1629504394

Title

Owner

Phone

(260) 600-7045

Specialties & licenses 1

Addresses

Other names 1

• yourphayvoritetherapist Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Phaecia A. Ward, LCSW

  • Clinical Social Worker
  • Fort Wayne, IN
  • NPI 1629504394
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623888000000",
    "number": "1013585777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4406 ATWOOD DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468064916",
            "telephone_number": "260-600-7045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4406 ATWOOD DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468064916",
            "telephone_number": "260-600-7045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHAECIA A. WARD, LCSW COUNSELING AND CONSULTING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-17",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "PHAECIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-600-7045",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "yourphayvoritetherapist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.