IndividualActive
Lanette Fravel, MA
NPI 1497527253 · Adolescent and Children Mental Health Clinic/Center · Fort Wayne, IN
Provider details
- NPI number
- 1497527253
- Entity type
- Individual
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Credential
- MA
- Sex
- Female
- Sole proprietor
- Yes
Mailing address
6913 Blake Dr
Fort Wayne, IN 46804-1013
Registry dates
- Enumerated
- 2023-10-25
- Last updated
- 2023-10-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.