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General NPI Number Information
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NPI Number | 1447173695
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Entity Type | Organization
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Legal Business Name | REFLECTING CHANGE ASSESSMENT SERVICE LLC
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Dates
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Enumeration Date | 08/04/2026
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Last Update Date | 08/04/2026
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Provider Practice Location Address
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Address Line | 8892 LOUISIANA ST STE D-2
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City | MERRILLVILLE
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State | IN
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Zip | 46410-7153
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Country | US
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Telephone | 630-677-0450
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Fax | 314-431-6420
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Provider Business Mailing Address
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Address Line | PO BOX 2964
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City | EAST CHICAGO
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State | IN
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Zip | 46312-7964
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Country | US
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Telephone | 630-677-0450
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Fax | 314-431-6420
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Authorized Official
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Title or Position | OWNER
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Name | MR. JERMAINE ANTHONY
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Credential | LCSW, CRADC, SAP
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Telephone | 630-677-0450
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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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