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General NPI Number Information
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NPI Number | 1114715786
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Entity Type | Organization
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Legal Business Name | PURPLE ROSE COUNSELING, PLLC
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Dates
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Enumeration Date | 04/25/2025
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Last Update Date | 04/25/2025
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Provider Practice Location Address
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Address Line | 1935 SHERMER RD STE 240
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City | NORTHBROOK
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State | IL
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Zip | 60062-5354
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Country | US
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Telephone | 312-600-5637
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Fax |
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Provider Business Mailing Address
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Address Line | 1935 SHERMER RD STE 240
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City | NORTHBROOK
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State | IL
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Zip | 60062-5354
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Country | US
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Telephone | 312-600-5637
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Fax |
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Authorized Official
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Title or Position | THERAPIST AND FOUNDER
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Name | BRITTANY GRAY
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Credential | LCPC
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Telephone | 847-373-4499
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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