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General NPI Number Information
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NPI Number | 1144793928
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Entity Type | Organization
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Legal Business Name | GRACE & TRUTH COUNSELING, LLC
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Dates
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Enumeration Date | 01/04/2019
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Last Update Date | 11/08/2019
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Provider Practice Location Address
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Address Line | 235 CHESTNUT ST.
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City | LOUISVILLE
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State | IL
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Zip | 62858
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Country | US
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Telephone | 618-665-3050
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 13
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City | LOUISVILLE
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State | IL
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Zip | 62858-0013
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Country | US
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Telephone | 618-665-3050
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Fax |
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Authorized Official
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Title or Position | COUNSELOR/OWNER
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Name | REBECCA L PAYNE
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Credential | LCPC
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Telephone | 618-665-3050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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 #3
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral 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 | 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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