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General NPI Number Information
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NPI Number | 1053482620
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Entity Type | Organization
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Legal Business Name | RIVER VALLEY WELLNESS CENTER
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 227 DIXIEWAY NORTH SUITE 200
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City | SOUTH BEND
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State | IN
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Zip | 46637-3393
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Country | US
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Telephone | 574-272-7700
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Fax | 574-272-7800
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Provider Business Mailing Address
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Address Line | 227 DIXIEWAY NORTH SUITE 200
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City | SOUTH BEND
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State | IN
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Zip | 46637-3393
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Country | US
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Telephone | 574-272-7700
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Fax | 574-272-7800
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Authorized Official
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Title or Position | PSYCHOTHERAPIST LICENSED CLINICAL S
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Name | MS. BARBARA ANN CHRISTIAN
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Credential | MA LCSW LMFT
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Telephone | 574-272-7700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 34002565A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 35000335A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 84000027A
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License Number State | IN
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