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General NPI Number Information
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NPI Number | 1134018088
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Entity Type | Organization
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Legal Business Name | DESIRED FUTURES COUNSELING & CONSULTING, P.L.L.C.
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Dates
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Enumeration Date | 07/02/2025
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 100 N CHESTNUT ST STE 235
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City | CHAMPAIGN
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State | IL
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Zip | 61820-4872
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Country | US
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Telephone | 217-693-9280
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Fax |
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Provider Business Mailing Address
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Address Line | 907 E ILLINOIS ST
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City | URBANA
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State | IL
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Zip | 61801-3510
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Country | US
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Telephone | 217-693-9280
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | ANDI M PHILLIPS
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Credential | LCSW
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Telephone | 217-693-9280
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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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