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General NPI Number Information
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NPI Number | 1245751064
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Entity Type | Organization
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Legal Business Name | STEPHEN INSTITUTE, LLC
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Dates
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Enumeration Date | 06/30/2017
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 9165 MORTON ST
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City | MERRILLVILLE
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State | IN
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Zip | 46410-8622
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Country | US
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Telephone | 219-771-4776
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Fax | 601-510-8985
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Provider Business Mailing Address
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Address Line | 9165 MORTON ST
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City | MERRILLVILLE
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State | IN
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Zip | 46410-8622
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Country | US
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Telephone | 219-771-4776
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Fax | 601-510-8985
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Authorized Official
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Title or Position | OWNER
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Name | VELNETTE LEACH THOMAS
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Credential |
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Telephone | 219-771-4776
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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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