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General NPI Number Information
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NPI Number | 1275454944
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Entity Type | Organization
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Legal Business Name | PROMISE PLACE COMMUNITY CENTER
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Dates
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Enumeration Date | 07/21/2026
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Last Update Date | 07/21/2026
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Provider Practice Location Address
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Address Line | 1800 N MERIDIAN ST STE 400B
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City | INDIANAPOLIS
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State | IN
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Zip | 46202-1433
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Country | US
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Telephone | 463-223-9883
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Fax |
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Provider Business Mailing Address
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Address Line | 7715 DARTMOUTH RD
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City | INDIANAPOLIS
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State | IN
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Zip | 46260-3326
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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 | CEO
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Name | CANDACE ROBINSON
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Credential | MS
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Telephone | 317-941-3370
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | 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 | 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 #3
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Taxonomy Code | 103TH0100X
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Taxonomy Name | Health Service Psychologist
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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