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General NPI Number Information
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NPI Number | 1750237301
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Entity Type | Organization
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Legal Business Name | ANAM CARA STABLES
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Dates
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Enumeration Date | 03/06/2026
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Last Update Date | 03/06/2026
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Provider Practice Location Address
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Address Line | 4298 E 1000 N
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City | LA PORTE
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State | IN
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Zip | 46350-8327
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Country | US
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Telephone | 219-207-7222
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Fax | 219-280-2632
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Provider Business Mailing Address
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Address Line | 4298 E 1000 N
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City | LA PORTE
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State | IN
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Zip | 46350-8327
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Country | US
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Telephone | 219-207-7222
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Fax | 219-280-2632
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. STACEY RENE GARCELON WILLIAMS
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Credential | LMHCA, NCC
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Telephone | 219-207-7222
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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 |
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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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