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General NPI Number Information
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NPI Number | 1912654526
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Entity Type | Organization
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Legal Business Name | MASTER'S TOUCH COUNSELING SERVICES. LLC
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Dates
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Enumeration Date | 03/03/2022
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Last Update Date | 03/03/2022
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Provider Practice Location Address
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Address Line | 6467 ROYAL OAKLAND DR
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City | INDIANAPOLIS
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State | IN
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Zip | 46236-4804
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Country | US
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Telephone | 317-413-8000
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Fax | 317-855-7668
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Provider Business Mailing Address
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Address Line | 12125 E. 65TH STREET PO BOX 36006
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City | INDIANAPOLIS
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State | IN
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Zip | 46236
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Country | US
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Telephone | 317-413-8000
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Fax | 317-855-7668
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Authorized Official
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Title or Position | OWNER/CLINICAL DIRECTOR
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Name | MS. DENISE COLLEEN CLEVELAND-MOORE
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Credential | MSW, LCSW, LCAC
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Telephone | 317-413-8000
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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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