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General NPI Number Information
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NPI Number | 1801657002
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Entity Type | Organization
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Legal Business Name | PATHWAYS COUNSELING
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Dates
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Enumeration Date | 01/16/2024
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Last Update Date | 01/16/2024
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Provider Practice Location Address
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Address Line | 5401 S EAST ST STE 112B
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City | INDIANAPOLIS
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State | IN
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Zip | 46227-2077
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Country | US
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Telephone | 317-313-8994
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Fax |
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Provider Business Mailing Address
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Address Line | 7331 EAGLE VISTA PL
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City | INDIANAPOLIS
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State | IN
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Zip | 46259-7705
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Country | US
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Telephone | 317-446-2995
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | AMY AMICO
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Credential | LCSW
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Telephone | 317-313-8994
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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