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General NPI Number Information
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NPI Number | 1851251573
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Entity Type | Organization
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Legal Business Name | BIRCH & BALANCE WELLNESS STUDIO, LLC
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Dates
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Enumeration Date | 11/14/2025
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Last Update Date | 11/14/2025
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Provider Practice Location Address
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Address Line | 5222 S EAST ST STE B1
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City | INDIANAPOLIS
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State | IN
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Zip | 46227-1983
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Country | US
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Telephone | 317-296-4212
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Fax |
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Provider Business Mailing Address
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Address Line | 402 CAMPBELL RD
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City | GREENWOOD
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State | IN
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Zip | 46143-9743
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TERESA LEIGH TROXELL
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Credential | LCSW
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Telephone | 317-296-4212
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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