Midwest Addiction Psychiatric & Psychological Services Llc
Counselor Clinic
3010 E. State Blvd, Ste 100, Fort Wayne
Indiana, 46805
260-471-0632 260-471-3451
Maps & DirectionsMidwest Addiction Psychiatric & Psychological Services Llc is a Counselor Clinic in Fort Wayne, Indiana. It is located at 3010 E. State Blvd, Ste 100, Fort Wayne, IN and its contact number is 260-471-0632. The authorized person for Midwest Addiction Psychiatric & Psychological Services Llc is Dr. Don A Marshall Jr.
who is Owner of the clinic and his/her contact number is 260-456-7261. The primary license number for Midwest Addiction Psychiatric & Psychological Services Llc is 14060ASO (Addiction (Substance Use Disorder)) in Indiana.
Midwest Addiction Psychiatric & Psychological Services Llc Clinic has counselors who are trained and educated in the performance of behavior health services through interpersonal communications and analysis. Counselors offer guidance to individuals, couples, families and groups who are dealing with issues that affect their mental health and well-being.
Complete Clinic Profile:
Midwest Addiction Psychiatric & Psychological Services Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Midwest Addiction Psychiatric & Psychological Services Llc |
| Specialization: | Mental Health Counselor |
| Clinic Address: | 3010 E. State Blvd, Ste 100, Fort Wayne,
Indiana, 46805 |
| Phone: | 260-471-0632 |
| Fax: | 260-471-3451 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Don A Marshall Jr. |
| Position: | Owner |
| Contact Number: | 260-456-7261 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Midwest Addiction Psychiatric & Psychological Services Llc clinic are as mentioned below.
| NPI Number: | 1336190149 |
| NPI Enumeration Date: | 15 May, 2006 |
| NPI Last Update On: | 02 Mar, 2018 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Midwest Addiction Psychiatric & Psychological Services Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Addiction (Substance Use Disorder) | 14060ASO | Indiana | Primary | |
| Mental Health | 14060ASO | Indiana | Secondary | |
| Psychologist | 14060ASO | Indiana | Secondary | |
| Addiction (Substance Use Disorder) | 14060ASO | Indiana | Secondary | |
| Cognitive & Behavioral | 14060ASO | Indiana | Secondary | |
| Clinical Child & Adolescent | 14060ASO | Indiana | Secondary | |
| Forensic | 14060ASO | Indiana | Secondary | |
| Clinical | 14060ASO | Indiana | Secondary | |
| Marriage & Family Therapist | 14060ASO | Indiana | Secondary | |
| Psychiatry | 14060ASO | Indiana | Secondary | |
| Addiction Psychiatry | 14060ASO | Indiana | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 200200260A | Medicaid | Indiana | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Midwest Addiction Psychiatric & Psychological Services Llc
3010 E State Blvd, Sutie A
Fort Wayne, Indiana |
| Zip: | 46805-4700 |
| Phone Number: | 260-471-0632 |
| Fax Number: | 260-471-3451 |
Patients can reach Midwest Addiction Psychiatric & Psychological Services Llc at
3010 E. State Blvd, Ste 100, Fort Wayne, Indiana or can
call to book an appointment on 260-471-0632.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.