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NPI 1740338474

NPI 1740338474 : MILDRED IRENE CARNEY M.S., L.M.H.C. : NEW ALBANY, IN

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General NPI Number Information
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    NPI Number           |    1740338474
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    Entity Type          |    Individual 
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    Provider Name        |    MILDRED IRENE CARNEY M.S., L.M.H.C.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/08/2007
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    Last Update Date     |    12/06/2025
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Provider Practice Location Address
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    Address Line         |    1015 E MAIN ST STE 101 
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    City                 |    NEW ALBANY
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    State                |    IN
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    Zip                  |    47150-5842
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    Country              |    US
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    Telephone            |    502-457-4444
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    Fax                  |    812-949-4903
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Provider Business Mailing Address
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    Address Line         |    2411 HARRIS CT 
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    City                 |    NEW ALBANY
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    State                |    IN
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    Zip                  |    47150-4544
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    Country              |    US
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    Telephone            |    502-457-4444
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    Fax                  |    812-949-4903
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    39001522A
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    License Number State |    IN
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