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NPI 1659256501

NPI 1659256501 : NEW PATH THERAPY, LLC : FRANKFORT, IN

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General NPI Number Information
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    NPI Number           |    1659256501
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    Entity Type          |    Organization 
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    Legal Business Name  |    NEW PATH THERAPY, LLC 
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Dates
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    Enumeration Date     |    08/09/2025
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    Last Update Date     |    08/13/2025
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Provider Practice Location Address
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    Address Line         |    250 ALHAMBRA AVE 
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    City                 |    FRANKFORT
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    State                |    IN
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    Zip                  |    46041-3164
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    Country              |    US
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    Telephone            |    765-224-6601
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    418 E COUNTY ROAD 250 N 
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    City                 |    FRANKFORT
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    State                |    IN
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    Zip                  |    46041-7809
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    Country              |    US
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    Telephone            |    773-474-2005
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER,
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    Name                 |     JESSICA ANNE WHITESELL 
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    Credential           |    LCSW
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    Telephone            |    773-474-2005
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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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