Provider Demographics
NPI:1154527794
Name:CHUCK HOWIE COUNSELING SERVICES, PC
Entity type:Organization
Organization Name:CHUCK HOWIE COUNSELING SERVICES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:CLIFFORD
Authorized Official - Last Name:HOWIE
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LMHC, LPC
Authorized Official - Phone:260-466-3988
Mailing Address - Street 1:1415 MAGNAVOX WAY
Mailing Address - Street 2:SUITE 120
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46804-1565
Mailing Address - Country:US
Mailing Address - Phone:260-466-3988
Mailing Address - Fax:260-483-0836
Practice Address - Street 1:1415 MAGNAVOX WAY
Practice Address - Street 2:SUITE 120
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46804-1565
Practice Address - Country:US
Practice Address - Phone:260-466-3988
Practice Address - Fax:260-483-0836
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health