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General NPI Number Information
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NPI Number | 1073439477
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Entity Type | Organization
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Legal Business Name | TOTAL SOLUTION PSYCHOLOGICAL AND CONSULTATION SERVICES
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Dates
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Enumeration Date | 06/29/2026
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Last Update Date | 06/29/2026
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Provider Practice Location Address
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Address Line | 2765 RED SPRUCE DR
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City | GREENFIELD
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State | IN
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Zip | 46140-5023
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Country | US
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Telephone | 269-815-6927
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Fax |
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Provider Business Mailing Address
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Address Line | 2765 RED SPRUCE DR
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City | GREENFIELD
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State | IN
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Zip | 46140-5023
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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 | PSYCHOLOGIST
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Name | BREEZIE GIBSON
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Credential | PHD, LP
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Telephone | 614-531-7330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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