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General NPI Number Information
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NPI Number | 1871205161
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Entity Type | Organization
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Legal Business Name | ENVISION HP LLC
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Dates
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Enumeration Date | 12/19/2022
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 2901 OHIO BLVD
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City | TERRE HAUTE
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State | IN
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Zip | 47803-2239
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Country | US
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Telephone | 317-730-0821
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Fax |
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Provider Business Mailing Address
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Address Line | 6645 W PRIVATE ROAD 440 N
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City | BRAZIL
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State | IN
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Zip | 47834-7363
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Country | US
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Telephone | 317-730-0821
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARY WALKER
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Credential | MS LMHC
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Telephone | 317-730-0821
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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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