OrganizationActive
Life Transitions Counseling Center, LLC
NPI 1912356783 · Counseling Psychologist · Fort Wayne, IN
Provider details
- NPI number
- 1912356783
- Entity type
- Organization
- Primary specialty
- Counseling PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Michelle Miller, Psychologist/Owner(260) 434-1606
- License
- 20042044A (IN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
4630 W Jefferson Blvd
#11a
Fort Wayne, IN 46804-6856
Phone: (260) 434-1606
Fax: (260) 434-1606
Approximate (ZIP-level) locationGet directions
Mailing address
4630 W Jefferson Blvd
Fort Wayne, IN 46804-6856
Registry dates
- Enumerated
- 2016-06-12
- Last updated
- 2016-06-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.