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General NPI Number Information
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NPI Number | 1164792982
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Entity Type | Organization
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Legal Business Name | PEACE OF MIND PLLC
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Dates
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Enumeration Date | 01/10/2012
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Last Update Date | 09/01/2022
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Provider Practice Location Address
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Address Line | 349 S WEBER RD
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City | ROMEOVILLE
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State | IL
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Zip | 60446-6530
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Country | US
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Telephone | 815-325-4977
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7174
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City | ROMEOVILLE
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State | IL
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Zip | 60446-7074
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Country | US
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Telephone | 815-325-4977
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Fax |
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | RACHEL SAHTOUT
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Credential | LCSW
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Telephone | 815-325-4977
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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 | 149012933
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License Number State | IL
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