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General NPI Number Information
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NPI Number | 1992562326
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Entity Type | Organization
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Legal Business Name | HEATHER KAUFMAN COUNSELING, LLC
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Dates
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Enumeration Date | 03/04/2024
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 921 E 86TH ST STE 103
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City | INDIANAPOLIS
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State | IN
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Zip | 46240-1841
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Country | US
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Telephone | 317-444-4979
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Fax | 317-444-4550
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Provider Business Mailing Address
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Address Line | 1111 E 54TH ST STE 103
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City | INDIANAPOLIS
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State | IN
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Zip | 46220-3580
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Country | US
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Telephone | 317-296-8410
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | HEATHER KAUFMAN-MCKIVIGAN
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Credential | LMHC
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Telephone | 317-444-4979
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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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