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General NPI Number Information
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NPI Number | 1013682442
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Entity Type | Organization
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Legal Business Name | UNCHAINED MINDS COUNSELING, LLC
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Dates
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Enumeration Date | 08/09/2021
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Last Update Date | 08/09/2021
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Provider Practice Location Address
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Address Line | 225 N MICHIGAN AVE STE 1430
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City | CHICAGO
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State | IL
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Zip | 60601-7653
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Country | US
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Telephone | 508-348-7941
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Fax |
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Provider Business Mailing Address
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Address Line | PMB 226, 1225 PROVIDENCE RD
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City | WHITINSVILLE
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State | MA
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Zip | 01588-2134
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Country | US
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Telephone | 508-348-7941
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KATHRYN BELMORE
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Credential | LMHC
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Telephone | 508-348-7941
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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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