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General NPI Number Information
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NPI Number | 1477159218
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Entity Type | Organization
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Legal Business Name | RAGAN PSYCHOLOGICAL ASSOCIATES OF GREENWOOD
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Dates
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Enumeration Date | 12/08/2020
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Last Update Date | 06/30/2022
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Provider Practice Location Address
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Address Line | 435 E MAIN ST
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City | GREENWOOD
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State | IN
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Zip | 46143-1384
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Country | US
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Telephone | 317-785-1048
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Fax |
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Provider Business Mailing Address
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Address Line | 3991 BROCKTON MANOR NORTH DR
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City | GREENWOOD
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State | IN
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Zip | 46143-8414
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Country | US
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Telephone | 317-914-7116
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | COURTNEY RAGAN
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Credential | LMHC
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Telephone | 317-914-7116
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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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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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