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General NPI Number Information
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NPI Number | 1184140253
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Entity Type | Organization
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Legal Business Name | THE RIGHT PATH FAMILY SERVICES, LLC
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Dates
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Enumeration Date | 08/20/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1205 W. LINCOLN HIGHWAY STE. 5
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City | MERRILLVILLE
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State | IN
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Zip | 46410
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Country | US
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Telephone | 219-525-4577
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Fax |
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Provider Business Mailing Address
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Address Line | 1205 W LINCOLN HWY STE 5
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City | MERRILLVILLE
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State | IN
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Zip | 46410-5336
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Country | US
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Telephone | 219-525-4577
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Fax |
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Authorized Official
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Title or Position | CEO/PARTNER
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Name | JENNIFER VICKERS
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Credential | LCAC
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Telephone | 219-525-4577
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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 | 87001213A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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