Provider Demographics
NPI:1932962537
Name:MADE TO THRIVE MENTAL HEALTH WELLNESS
Entity type:Organization
Organization Name:MADE TO THRIVE MENTAL HEALTH WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DELANEY
Authorized Official - Middle Name:
Authorized Official - Last Name:BAUMANN
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:260-615-9149
Mailing Address - Street 1:6633 E STATE BLVD STE 125A
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46815-7035
Mailing Address - Country:US
Mailing Address - Phone:260-900-2339
Mailing Address - Fax:260-231-3374
Practice Address - Street 1:6633 E STATE BLVD STE 125A
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46815-7035
Practice Address - Country:US
Practice Address - Phone:260-900-2339
Practice Address - Fax:260-231-3374
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-05
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty