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General NPI Number Information
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NPI Number | 1154930691
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Entity Type | Organization
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Legal Business Name | INNER CALM, LLC
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Dates
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Enumeration Date | 07/30/2020
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Last Update Date | 07/30/2020
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Provider Practice Location Address
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Address Line | 9640 COMMERCE DR STE 412
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City | CARMEL
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State | IN
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Zip | 46032-7638
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Country | US
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Telephone | 317-662-0082
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Fax |
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Provider Business Mailing Address
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Address Line | 920 TILLSON DR
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City | ZIONSVILLE
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State | IN
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Zip | 46077-9330
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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 | OWNER
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Name | ERIN TAHVONEN
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Credential | LMHC
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Telephone | 734-368-0646
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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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