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General NPI Number Information
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NPI Number | 1659010106
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Entity Type | Organization
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Legal Business Name | REMNANT COUNSELING CENTER L.L.C.
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Dates
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Enumeration Date | 06/02/2022
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Last Update Date | 06/02/2022
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Provider Practice Location Address
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Address Line | 735 SHELBY ST STE 56
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City | INDIANAPOLIS
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State | IN
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Zip | 46203-1167
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Country | US
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Telephone | 859-359-8352
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Fax | 859-554-4110
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Provider Business Mailing Address
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Address Line | 1125 COMMERCIAL DR
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City | LEXINGTON
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State | KY
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Zip | 40505-3815
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Country | US
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Telephone | 859-359-8352
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Fax | 859-554-4110
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Authorized Official
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Title or Position | OWNER/MANANGER
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Name | DAISY E BROWN
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Credential | LCSW
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Telephone | 859-359-8352
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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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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