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General NPI Number Information
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NPI Number | 1437029691
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Entity Type | Organization
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Legal Business Name | EQUILIBRIUM COUNSELING AND CONSULTING, LLC
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Dates
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Enumeration Date | 11/11/2025
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 205 N COLLEGE AVE # 9
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City | BLOOMINGTON
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State | IN
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Zip | 47404-3950
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Country | US
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Telephone | 812-727-0619
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Fax |
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Provider Business Mailing Address
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Address Line | 1616 POTTERSVILLE RD
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City | SPENCER
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State | IN
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Zip | 47460-7489
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Country | US
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Telephone | 812-430-8904
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Fax |
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Authorized Official
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Title or Position | OWNER/LCSW
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Name | GENNA WEISHEIT
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Credential | LCSW
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Telephone | 812-430-8904
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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