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NPI 1467217133

NPI 1467217133 : NEW HOPE COUNSELING LLC : INDIANAPOLIS, IN

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General NPI Number Information
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    NPI Number           |    1467217133
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    Entity Type          |    Organization 
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    Legal Business Name  |    NEW HOPE COUNSELING LLC 
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Dates
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    Enumeration Date     |    02/20/2024
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    Last Update Date     |    02/20/2024
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Provider Practice Location Address
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    Address Line         |    7425 E 86TH ST 
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    City                 |    INDIANAPOLIS
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    State                |    IN
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    Zip                  |    46256-1207
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    Country              |    US
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    Telephone            |    317-474-6448
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    7425 E 86TH ST 
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    City                 |    INDIANAPOLIS
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    State                |    IN
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    Zip                  |    46256-1207
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     LOGAN  EVERETT 
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    Credential           |    
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    Telephone            |    317-474-6448
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    
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    License Number State |    
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