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NPI 1891516696

NPI 1891516696 : SPARTAN CONSULTING & COUNSELING : MILLTOWN, IN

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General NPI Number Information
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    NPI Number           |    1891516696
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    Entity Type          |    Organization 
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    Legal Business Name  |    SPARTAN CONSULTING & COUNSELING 
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Dates
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    Enumeration Date     |    10/23/2024
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    Last Update Date     |    03/13/2025
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Provider Practice Location Address
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    Address Line         |    1885 S JENKINS RD 
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    City                 |    MILLTOWN
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    State                |    IN
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    Zip                  |    47145-7307
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    Country              |    US
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    Telephone            |    260-413-8499
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4510 CHARLESTOWN RD STE 239 
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    City                 |    NEW ALBANY
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    State                |    IN
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    Zip                  |    47150-8513
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    Country              |    US
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    Telephone            |    812-612-8273
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    Fax                  |    812-356-6231
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Authorized Official
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    Title or Position    |    OWNER/PSYCHOTHERAPIST
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    Name                 |     MOLLY KATHLEEN HALL 
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    Credential           |    MSW, LCSW
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    Telephone            |    812-612-8273
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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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