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General NPI Number Information
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NPI Number | 1114723335
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Entity Type | Organization
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Legal Business Name | ACTUALIZING YOUR BEST SELF, PLLC
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Dates
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Enumeration Date | 02/19/2025
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Last Update Date | 10/19/2025
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Provider Practice Location Address
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Address Line | 2531 DIVISION ST STE 103
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City | JOLIET
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State | IL
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Zip | 60435-8735
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Country | US
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Telephone | 815-200-9322
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Fax |
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Provider Business Mailing Address
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Address Line | 1131 W JEFFERSON ST STE 211
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City | SHOREWOOD
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State | IL
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Zip | 60404-0701
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | ELIZABETH ORMES
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Credential | MA, LCPC
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Telephone | 815-200-9322
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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