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General NPI Number Information
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NPI Number | 1073439246
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Entity Type | Organization
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Legal Business Name | PUSH ME PULL YOU COUNSELING AND WELLNESS CENTER
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Dates
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Enumeration Date | 06/24/2026
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Last Update Date | 06/24/2026
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Provider Practice Location Address
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Address Line | 1402 COMMERCE AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46201-1141
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Country | US
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Telephone | 317-772-5176
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Fax |
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Provider Business Mailing Address
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Address Line | 1402 COMMERCE AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46201-1141
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Country | US
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Telephone | 317-772-5176
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DAVETTA SANDERS
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Credential |
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Telephone | 317-772-5176
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2800X
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Taxonomy Name | Methadone Clinic
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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