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General NPI Number Information
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NPI Number | 1114891322
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Entity Type | Organization
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Legal Business Name | KHB PSYCHOTHERAPY PLLC
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Dates
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Enumeration Date | 10/01/2025
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 30 N MICHIGAN AVE
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City | CHICAGO
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State | IL
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Zip | 60602-3402
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Country | US
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Telephone | 312-834-7778
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Fax |
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Provider Business Mailing Address
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Address Line | 4349 S CHAMPLAIN AVE
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City | CHICAGO
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State | IL
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Zip | 60653-3524
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Country | US
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Telephone | 423-260-0260
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KEVIN BARRETT
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Credential | LCSW
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Telephone | 423-260-0260
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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