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General NPI Number Information
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NPI Number | 1114811643
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Entity Type | Organization
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Legal Business Name | CLINICAL SOLUTIONS, PLLC
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Dates
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Enumeration Date | 06/09/2025
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 680 N LAKE SHORE DRIVE SUITE 110#2756
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City | CHICAGO
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State | IL
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Zip | 60611-4447
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Country | US
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Telephone | 773-880-8820
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Fax | 773-880-8469
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Provider Business Mailing Address
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Address Line | 20 PALMER PINES RD
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City | HAMILTON
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State | GA
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Zip | 31811-4408
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Country | US
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Telephone | 773-880-8820
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Fax | 773-880-8469
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Authorized Official
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Title or Position | OWNER
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Name | JOHN W HENSON III
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Credential | LCSW
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Telephone | 773-880-8820
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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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