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General NPI Number Information
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NPI Number | 1114878584
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Entity Type | Organization
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Legal Business Name | CEASE OF SCOTT COUNTY
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Dates
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Enumeration Date | 02/03/2026
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 825 N HIGHWAY 31
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City | AUSTIN
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State | IN
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Zip | 47102-1830
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Country | US
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Telephone | 812-697-2107
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Fax |
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Provider Business Mailing Address
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Address Line | 825 N HIGHWAY 31
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City | AUSTIN
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State | IN
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Zip | 47102-1830
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Country | US
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Telephone | 812-697-2107
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Fax |
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Authorized Official
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Title or Position | COORDINATOR
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Name | CARISSA ANN MILLER
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Credential | LCSW
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Telephone | 812-697-2107
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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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 | 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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