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General NPI Number Information
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NPI Number | 1679466890
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Entity Type | Organization
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Legal Business Name | VIRTUAL ART THERAPY CONSULTING GROUP LLC
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Dates
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Enumeration Date | 05/29/2025
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 12145 BRUSHFIELD LN
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City | FISHERS
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State | IN
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Zip | 46037-8492
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Country | US
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Telephone | 317-428-8380
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Fax |
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Provider Business Mailing Address
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Address Line | 12145 BRUSHFIELD LN
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City | FISHERS
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State | IN
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Zip | 46037-8492
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Country | US
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Telephone | 317-428-8380
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. TAMI HARRIS
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Credential | PHD LMHC ATR-BC
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Telephone | 317-426-8380
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TP0814X
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Taxonomy Name | Psychoanalysis Psychologist
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #4
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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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Taxonomy #5
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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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