Provider Demographics
NPI:1841175536
Name:GARNESS, DEVAN YVONNE (LMHCA)
Entity type:Individual
Prefix:
First Name:DEVAN
Middle Name:YVONNE
Last Name:GARNESS
Suffix:
Gender:F
Credentials:LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2235 ABBEY DR
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46835-3101
Mailing Address - Country:US
Mailing Address - Phone:812-483-8283
Mailing Address - Fax:
Practice Address - Street 1:1010 E DUPONT RD
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46825-1554
Practice Address - Country:US
Practice Address - Phone:260-471-8141
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN88002706A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health