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General NPI Number Information
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NPI Number | 1407714215
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Entity Type | Organization
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Legal Business Name | GUIDANCE LIFE-SKILLS AND MENTORING INC.
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Dates
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Enumeration Date | 01/12/2026
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 3720 N EUCLID AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46218-1518
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Country | US
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Telephone | 317-500-2800
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 88321
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City | INDIANAPOLIS
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State | IN
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Zip | 46208-0321
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Country | US
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Telephone | 317-500-2800
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | SHANEL POOLE
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Credential |
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Telephone | 317-500-2800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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