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General NPI Number Information
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NPI Number | 1407660475
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Entity Type | Organization
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Legal Business Name | READY BREAK COUNSELING SERVICES
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Dates
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Enumeration Date | 02/01/2025
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Last Update Date | 02/01/2025
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Provider Practice Location Address
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Address Line | 600 N ALABAMA ST APT 1100
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City | INDIANAPOLIS
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State | IN
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Zip | 46204-1407
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Country | US
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Telephone | 317-652-6761
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Fax |
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Provider Business Mailing Address
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Address Line | 600 N ALABAMA ST APT 1100
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City | INDIANAPOLIS
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State | IN
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Zip | 46204-1407
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Country | US
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Telephone | 317-652-6761
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Fax |
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Authorized Official
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Title or Position | OWNER, THERAPIST
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Name | TERESA RENEE BRADLEY
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Credential | LCSW, LCAC
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Telephone | 317-652-6761
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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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