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General NPI Number Information
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NPI Number | 1073265419
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Entity Type | Organization
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Legal Business Name | LANDING SPOT COUNSELING, LLC
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Dates
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Enumeration Date | 01/26/2022
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Last Update Date | 01/24/2024
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Provider Practice Location Address
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Address Line | 4778 S FARMERS RETREAT RD
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City | DILLSBORO
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State | IN
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Zip | 47018-9025
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Country | US
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Telephone | 812-505-8978
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Fax | 812-247-8071
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Provider Business Mailing Address
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Address Line | 4778 S FARMERS RETREAT RD
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City | DILLSBORO
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State | IN
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Zip | 47018-9025
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Country | US
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Telephone | 812-344-9845
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Fax | 812-247-8071
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Authorized Official
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Title or Position | THERAPIST
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Name | MELODIE ANN MARTINI
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Credential | LMHC
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Telephone | 812-613-6242
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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