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General NPI Number Information
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NPI Number | 1790001139
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Entity Type | Organization
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Legal Business Name | AMARANTH COUNSELING, LLC
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Dates
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Enumeration Date | 04/09/2010
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 220 E BOONESLICK RD
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City | WARRENTON
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State | MO
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Zip | 63383-2006
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Country | US
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Telephone | 636-578-2836
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Fax | 877-433-3107
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Provider Business Mailing Address
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Address Line | 21209 OAK TRL
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City | WARRENTON
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State | MO
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Zip | 63383-3020
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Country | US
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Telephone | 636-578-2836
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Fax | 877-433-3107
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Authorized Official
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Title or Position | OWNER/LCSW
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Name | MS. PATRICKA ANN CALDERA
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Credential | MSW, LCSW, PSCD.
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Telephone | 636-578-2836
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 2010010537
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 2010010537
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License Number State | MO
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