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General NPI Number Information
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NPI Number | 1538982913
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Entity Type | Organization
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Legal Business Name | REIGN THERAPY CHRISTIAN COUNSELING
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Dates
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Enumeration Date | 11/05/2024
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Last Update Date | 11/25/2024
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Provider Practice Location Address
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Address Line | 2846 MINOCQUA PL
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City | INDIANAPOLIS
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State | IN
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Zip | 46203-4681
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Country | US
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Telephone | 317-456-2878
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Fax |
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Provider Business Mailing Address
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Address Line | 2846 MINOCQUA PL
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City | INDIANAPOLIS
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State | IN
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Zip | 46203-4681
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Country | US
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Telephone | 630-973-0226
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH THERAPIST
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Name | JOSEFINA A REIGN
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Credential | LCSW
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Telephone | 630-973-0226
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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