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NPI 1912806266

NPI 1912806266 : CLEAR PERCEPTION BEHAVIORAL SERVICES, LLC : INDIANAPOLIS, IN

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General NPI Number Information
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    NPI Number           |    1912806266
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    Entity Type          |    Organization 
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    Legal Business Name  |    CLEAR PERCEPTION BEHAVIORAL SERVICES, LLC 
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Dates
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    Enumeration Date     |    11/03/2026
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    Last Update Date     |    11/03/2026
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Provider Practice Location Address
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    Address Line         |    801 SHELBY ST # 556 
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    City                 |    INDIANAPOLIS
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    State                |    IN
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    Zip                  |    46203-1163
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    Country              |    US
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    Telephone            |    574-353-8003
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    Fax                  |    260-233-6566
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Provider Business Mailing Address
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    Address Line         |    801 SHELBY ST # 556 
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    City                 |    INDIANAPOLIS
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    State                |    IN
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    Zip                  |    46203-1163
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    Country              |    US
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    Telephone            |    574-353-8003
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    Fax                  |    260-233-6566
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     TRACY  FISHER 
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    Credential           |    
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    Telephone            |    574-360-0162
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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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