Search › Indiana › 1041C0700X
Perry Minner, LCSW
NPI 1295123693 · on the registry since 2015
Practice
- Address
- 3930 Edison Lakes Pkwy
Mishawaka, IN 46545 - Phone
- (216) 468-5000
- Clinicians at this address
- 7
Additional practice sites
- 430 E Lasalle Ave, South Bend, IN
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YA0400X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-08-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana