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General NPI Number Information
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NPI Number | 1265112049
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Entity Type | Organization
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Legal Business Name | ASCEND COUNSELING NWI LLC
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Dates
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Enumeration Date | 07/18/2023
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Last Update Date | 07/18/2023
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Provider Practice Location Address
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Address Line | 320 S CALUMET RD
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City | CHESTERTON
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State | IN
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Zip | 46304-2451
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Country | US
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Telephone | 219-316-2217
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Fax |
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Provider Business Mailing Address
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Address Line | 709-2 PLAZA DRIVE 146
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City | CHESTERTON
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State | IN
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Zip | 46304
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | LINDEN GRECULA
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Credential |
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Telephone | 219-316-2217
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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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 | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3245S0500X
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Taxonomy Name | Children's Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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Taxonomy #4
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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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