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General NPI Number Information
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NPI Number | 1134666100
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Entity Type | Organization
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Legal Business Name | EMPOWERING MINDS COUNSELING, LLC
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Dates
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Enumeration Date | 01/27/2017
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Last Update Date | 10/19/2024
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Provider Practice Location Address
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Address Line | 408 W MAIN ST
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City | OTTAWA
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State | IL
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Zip | 61350-2802
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Country | US
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Telephone | 815-326-9502
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Fax | 815-324-5102
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Provider Business Mailing Address
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Address Line | 408 W MAIN ST
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City | OTTAWA
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State | IL
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Zip | 61350-2802
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Country | US
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Telephone | 815-326-9502
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Fax | 815-324-5102
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Authorized Official
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Title or Position | OWNER
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Name | MELINDA VESELY
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Credential |
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Telephone | 815-326-9502
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #6
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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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