National Provider Identifier Database

ALLENDALE ACADEMY LLC
Adolescent and Children Mental Health

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.


Contact Information

ALLENDALE ACADEMY LLC
454 E DUPONT RD
FORT WAYNE, IN46825-2050
Phone: 239-888-4910
Fax:
Website:
Specialty Taxonomy Code
* Adolescent and Children Mental Health 261QM0855X
Substance Abuse Treatment, Children 3245S0500X

* Indicates primary specialty

NPI Profile & details for ALLENDALE ACADEMY LLC

NPI Number 1356007934
Legal business name
LBN
ALLENDALE ACADEMY LLC
Authorized official ADAM HOCHBERG - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 11/09/2021
Last updated 11/09/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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