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General NPI Number Information
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NPI Number | 1598574667
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Entity Type | Organization
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Legal Business Name | INTEGRATIVE MUSIC PSYCHOTHERAPY AND COUNSELING
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Dates
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Enumeration Date | 01/03/2025
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Last Update Date | 01/03/2025
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Provider Practice Location Address
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Address Line | 4201 MILLERSVILLE RD STE 204
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City | INDIANAPOLIS
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State | IN
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Zip | 46205-2987
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Country | US
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Telephone | 479-747-9346
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Fax |
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Provider Business Mailing Address
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Address Line | 5160 CARVEL AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46205-1273
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Country | US
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Telephone | 479-747-9346
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Fax |
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Authorized Official
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Title or Position | CREATOR
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Name | LEAH WHITMIRE
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Credential | MA, MT-BC, LMHC
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Telephone | 479-747-9346
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225A00000X
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Taxonomy Name | Music Therapist
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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 | 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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