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General NPI Number Information
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NPI Number | 1023717485
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Entity Type | Organization
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Legal Business Name | MEADOW CREEK COUNSELING LLC
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Dates
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Enumeration Date | 02/24/2023
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Last Update Date | 07/28/2024
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Provider Practice Location Address
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Address Line | 400 PEARL ST STE 202B
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City | NEW ALBANY
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State | IN
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Zip | 47150-3451
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Country | US
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Telephone | 720-808-0139
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Fax | 720-828-6096
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Provider Business Mailing Address
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Address Line | 7018 RAINELLE DR
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City | LANESVILLE
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State | IN
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Zip | 47136-9478
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Country | US
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Telephone | 303-717-4039
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Fax | 720-828-6096
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Authorized Official
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Title or Position | OWNER
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Name | KIMBERLY A THOMPSON TEXIDOR
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Credential | LMFT
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Telephone | 720-808-0139
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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