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General NPI Number Information
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NPI Number | 1346835519
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Entity Type | Organization
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Legal Business Name | CARLSON COUNSELING & PSYCHOTHERAPY, LLC
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Dates
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Enumeration Date | 03/09/2021
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Last Update Date | 03/29/2025
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Provider Practice Location Address
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Address Line | 59 BAYSHORE CT
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City | CARMEL
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State | IN
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Zip | 46033-3901
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Country | US
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Telephone | 317-406-8306
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Fax | 317-406-8306
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Provider Business Mailing Address
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Address Line | 921 E 86TH ST STE 206
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City | INDIANAPOLIS
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State | IN
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Zip | 46240-1841
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Country | US
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Telephone | 317-406-8306
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Fax | 317-406-8306
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Authorized Official
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Title or Position | CEO
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Name | MRS. MELANIE A. CARLSON
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Credential | LCSW, MSW
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Telephone | 317-406-8306
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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