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General NPI Number Information
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NPI Number | 1760377964
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Entity Type | Organization
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Legal Business Name | SALT HEARTH WELLNESS
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Dates
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Enumeration Date | 06/10/2025
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 12965 SHELBORNE RD
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City | CARMEL
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State | IN
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Zip | 46032-9289
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Country | US
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Telephone | 317-910-2966
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Fax |
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Provider Business Mailing Address
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Address Line | 12965 SHELBORNE RD
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City | CARMEL
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State | IN
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Zip | 46032-9289
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Country | US
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Telephone | 317-951-6332
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Fax |
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | ABIGAYLE HALL
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Credential |
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Telephone | 317-951-6332
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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