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General NPI Number Information
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NPI Number | 1073408746
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Entity Type | Organization
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Legal Business Name | BALANCE AND ENTITY WELLNESS CARE P.L.L.C.
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Dates
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Enumeration Date | 06/11/2025
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 2501 CHATHAM RD STE 8424
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City | SPRINGFIELD
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State | IL
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Zip | 62704-4188
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Country | US
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Telephone | 217-727-8273
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Fax |
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Provider Business Mailing Address
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Address Line | 2501 CHATHAM RD STE 8424
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City | SPRINGFIELD
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State | IL
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Zip | 62704-4188
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Country | US
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Telephone | 217-727-8273
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Fax |
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Authorized Official
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Title or Position | OWNER/ THERAPIST
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Name | MARCUS Q MURPHY
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Credential |
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Telephone | 773-982-4150
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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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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