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Heath Lisenby, DMIN., LMHC

NPI 1730289810 · on the registry since 2006 · sole proprietor

Practice

Address
6322 Constitution Dr
Fort Wayne, IN 46804
Phone
(260) 203-0294
Fax
(260) 264-4581

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-04-22

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