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General NPI Number Information
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NPI Number | 1740979186
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Entity Type | Organization
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Legal Business Name | WEKO FAMILY SERVICES LLC
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Dates
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Enumeration Date | 05/02/2023
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Last Update Date | 05/02/2023
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Provider Practice Location Address
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Address Line | 3905 VINCENNES RD STE 303
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City | INDIANAPOLIS
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State | IN
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Zip | 46268-3030
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Country | US
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Telephone | 317-471-3540
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Fax |
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Provider Business Mailing Address
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Address Line | 3905 VINCENNES RD STE 303
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City | INDIANAPOLIS
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State | IN
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Zip | 46268-3030
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Country | US
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Telephone | 317-471-3540
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | WELDON K KOECH
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Credential | MSW, LCSW, LCAC
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Telephone | 317-471-7176
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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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 | 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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