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General NPI Number Information
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NPI Number | 1225849292
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Entity Type | Organization
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Legal Business Name | STRESS REDUCTION CHRISTIAN MINISTRY, LLC
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Dates
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Enumeration Date | 01/17/2025
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 5555 N TACOMA AVE STE 12
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City | INDIANAPOLIS
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State | IN
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Zip | 46220-3548
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Country | US
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Telephone | 317-453-0452
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Fax | 463-314-3075
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Provider Business Mailing Address
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Address Line | 1494 BYRON ST
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City | GREENFIELD
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State | IN
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Zip | 46140-6930
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Country | US
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Telephone | 317-453-0452
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Fax | 463-314-3075
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Authorized Official
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Title or Position | MENTAL HEALTH THERAPIST
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Name | CHANTAL M HACKER
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Credential | MS, NCC, LMHC,LAC
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Telephone | 317-453-0452
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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