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NPI 1255122198

NPI 1255122198 : RYAN BEECHING COUNSELING LLC : FORT WAYNE, IN

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General NPI Number Information
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    NPI Number           |    1255122198
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    Entity Type          |    Organization 
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    Legal Business Name  |    RYAN BEECHING COUNSELING LLC 
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Dates
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    Enumeration Date     |    05/12/2025
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    Last Update Date     |    12/18/2025
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Provider Practice Location Address
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    Address Line         |    3134 MALLARD COVE LN 
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    City                 |    FORT WAYNE
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    State                |    IN
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    Zip                  |    46804-2882
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    Country              |    US
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    Telephone            |    260-255-4770
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    Fax                  |    260-240-2191
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Provider Business Mailing Address
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    Address Line         |    3134 MALLARD COVE LN 
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    City                 |    FORT WAYNE
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    State                |    IN
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    Zip                  |    46804-2882
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    Country              |    US
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    Telephone            |    260-255-4770
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    Fax                  |    260-240-2191
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Authorized Official
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    Title or Position    |    MEMBER
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    Name                 |     RYAN JOSEPH BEECHING 
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    Credential           |    MA, LMHC
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    Telephone            |    260-519-3661
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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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