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General NPI Number Information
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NPI Number | 1003726639
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Entity Type | Organization
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Legal Business Name | A PLACE TO LAND THERAPY AND WELLNESS, LLC
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Dates
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Enumeration Date | 09/08/2026
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Last Update Date | 09/08/2026
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Provider Practice Location Address
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Address Line | 3017 COTTONWOOD LN
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City | RIVER GROVE
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State | IL
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Zip | 60171-0020
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Country | US
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Telephone | 850-792-7953
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Fax |
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Provider Business Mailing Address
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Address Line | 217 SUMMIT AVE SUITE 1 PMB 1044
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City | JERSEY CITY
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State | NJ
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Zip | 07304-3109
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Country | US
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Telephone | 850-792-7953
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | LAURIE PARSONS
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Credential | LCSW
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Telephone | 850-792-7953
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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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