GLENIS A SUNDBERG


Address: 1818 Carew St Ste 320, Fort Wayne, IN 46805-4764
Phone: 2603735890

GLENIS A SUNDBERG (NPI# 1083988547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083988547
Entity Type Individual
Full Name GLENIS A SUNDBERG
Credential MS. ED; LMFT
Practice Address 1818 Carew St Ste 320
Fort Wayne
IN 46805-4764
Mailing Address 3702 New Vision Dr Bldg B
Fort Wayne
IN 46845-1703
Practice Telephone 2603735890
Practice Fax Number 2604228444
Enumeration Date 2012-03-01
Last Update Date 2019-06-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106H00000X Marriage & Family Therapist 35001823A IN Behavioral Health & Social Service Providers

Office Location

Street Address 1818 CAREW ST STE 320
City FORT WAYNE
State IN
Zip Code 46805-4764

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558855197 Nicole Pitts Physician Assistant 1818 Carew St Ste 320, Fort Wayne, IN 46805-4764 2018-06-18
1801339791 Alyssa L. Germann Physician Assistant 1818 Carew St Ste 320, Fort Wayne, IN 46805-4764 2016-11-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619589546 Connor Gemlick Student in an Organized Health Care Education/Training Program 1918 Carew St., Fort Wayne, IN 46805 2020-08-21
1710464086 S.t.a.r. Care Services Clinic/Center 3521 Lake Avenue, Suite #4, Fort Wayne, IN 46805 2018-07-19
1083122865 Noel Shafi Counselor 3010 East State Boulevard, Fort Wayne, IN 46805 2018-01-16
1063963627 Toni L Irby Specialist 3219 E State Blvd, Fort Wayne, IN 46805 2016-10-19
1639626211 Logan Schwerer Pharmacist 923 Northcrest Business Center 6d, Fort Wayne, IN 46805 2016-09-01
1063817104 Michale Diane Rothgeb Physical Therapy Assistant 2200 Randollia Dr, Fort Wayne, IN 46805 2014-10-31
1124435789 Julia I. Mcfann Physical Therapist 2200 Randalia Dr, Fort Wayne, IN 46805 2014-07-16
1083036974 Capital Senior Living Properties 4, Inc. Assisted Living Facility 3320 East State Boulevard, Fort Wayne, IN 46805 2014-01-10
1356772396 Alexander James Medical Supply Durable Medical Equipment & Medical Supplies 2200 Lake Avenue, Suite 290, Fort Wayne, IN 46805 2013-12-02
1043595689 Randy James Jennings Pharmacist 923 Northcrest Business Center, 6-d, Fort Wayne, IN 46805 2011-10-14
Find all providers in zip 46805

Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487287371 Fort Wayne Counseling Services Marriage & Family Therapist 6319 Mutual Dr Ste F, Fort Wayne, IN 46825-4246 2020-02-19
1942701214 Joshawa Todd Torres Marriage & Family Therapist 5651 Coventry Ln # 116, Fort Wayne, IN 46804 2018-02-22
1922497775 Mary Lisa Barta LLC Marriage & Family Therapist 5630 The Prophets Pass, Fort Wayne, IN 46845-9473 2015-01-16
1548506728 Carmella Nicole Oneal Marriage & Family Therapist 4630 W Jefferson Blvd Ste 3, Fort Wayne, IN 46804-6800 2012-12-17
1962754523 Matt Ryan Givens Marriage & Family Therapist 237 Airport North Office Park, Fort Wayne, IN 46825-6702 2012-10-08
1982982898 Ferraro Behavior Services, LLC Marriage & Family Therapist 9512 Lima Rd Ste 103, Fort Wayne, IN 46818-9806 2011-07-26
1679870646 Stephen Michael O'shaughnessy Marriage & Family Therapist 3407 Rolston St, Fort Wayne, IN 46805-1535 2011-02-27
1760711808 Marjorie L Havens Marriage & Family Therapist 2330 Beacon St, Suite 105, Fort Wayne, IN 46805-3852 2009-12-21
1366673956 Melissa Ann Borton Marriage & Family Therapist 126 W Columbia St, Ste 300, Fort Wayne, IN 46802-1719 2009-07-31
1972769735 Mary Lisa Barta Marriage & Family Therapist 10315e Dawson's Creek Blvd, Fort Wayne, IN 46825-1721 2008-07-31
Find all providers in FORT WAYNE

Competitor

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City FORT WAYNE
Zip Code 46805

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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