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General NPI Number Information
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NPI Number | 1083430557
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Entity Type | Organization
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Legal Business Name | NAMI WEST CENTRAL INDIANA INC.
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Dates
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Enumeration Date | 11/29/2024
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 615 N. 18TH STREET SUITE 104
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City | LAFAYETTE
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State | IN
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Zip | 47904
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Country | US
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Telephone | 765-423-6939
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Fax |
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Provider Business Mailing Address
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Address Line | 615 N. 18TH STREET SUITE 104
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City | LAFAYETTE
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State | IN
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Zip | 47904
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Country | US
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Telephone | 765-423-6939
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | SHERI MOORE
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Credential |
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Telephone | 765-426-2029
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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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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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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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