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General NPI Number Information
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NPI Number | 1205313608
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Entity Type | Organization
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Legal Business Name | HEALING BRIDGES COUNSELING, LLC
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Dates
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Enumeration Date | 07/27/2018
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Last Update Date | 03/29/2024
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Provider Practice Location Address
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Address Line | 4735 STATESMEN DR STE A
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City | INDIANAPOLIS
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State | IN
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Zip | 46250-5647
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Country | US
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Telephone | 317-986-4956
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Fax | 317-452-8821
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Provider Business Mailing Address
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Address Line | 4735 STATESMEN DR STE A
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City | INDIANAPOLIS
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State | IN
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Zip | 46250-5647
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Country | US
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Telephone | 317-986-4956
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Fax | 317-452-8821
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Authorized Official
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Title or Position | OWNER
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Name | KATHRYN MILLER
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Credential | LMFT
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Telephone | 317-986-4956
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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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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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