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General NPI Number Information
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NPI Number | 1013770981
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Entity Type | Organization
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Legal Business Name | YOUR TURNING POINT PLLC
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Dates
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Enumeration Date | 02/02/2024
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Last Update Date | 02/02/2024
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Provider Practice Location Address
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Address Line | 10540 S WESTERN AVE STE 506
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City | CHICAGO
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State | IL
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Zip | 60643-2529
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Country | US
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Telephone | 708-858-0075
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Fax |
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Provider Business Mailing Address
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Address Line | 9449 S KEDZIE AVE # 492
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City | EVERGREEN PARK
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State | IL
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Zip | 60805-2325
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Country | US
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Telephone | 708-858-0075
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Fax |
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Authorized Official
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Title or Position | FOUNDER/OWNER
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Name | LASAUNDRA D GORDON
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Credential | MA, LCPC
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Telephone | 708-858-0075
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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