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General NPI Number Information
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NPI Number | 1023816428
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Entity Type | Organization
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Legal Business Name | MARILYN'S W.A.R.C. (WELLNESS AND RECOVERY CENTER), L.L.C.
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Dates
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Enumeration Date | 03/04/2025
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 5164 E 81ST AVE
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City | MERRILLVILLE
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State | IN
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Zip | 46410-5852
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Country | US
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Telephone | 219-798-4106
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Fax |
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Provider Business Mailing Address
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Address Line | 5164 E 81ST AVE
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City | MERRILLVILLE
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State | IN
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Zip | 46410-5852
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO, OWNER
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Name | MARILYN THOMAS
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Credential | LCAC
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Telephone | 219-798-4106
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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