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NPI 1164908547

NPI 1164908547 : SERENDIPITY COUNSELING SERVICES, PLLC : WARRENVILLE, IL

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General NPI Number Information
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    NPI Number           |    1164908547
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    Entity Type          |    Organization 
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    Legal Business Name  |    SERENDIPITY COUNSELING SERVICES, PLLC 
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Dates
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    Enumeration Date     |    07/18/2018
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    Last Update Date     |    07/27/2026
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Provider Practice Location Address
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    Address Line         |    29W170 BUTTERFIELD RD STE 101 
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    City                 |    WARRENVILLE
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    State                |    IL
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    Zip                  |    60555-2808
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    Country              |    US
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    Telephone            |    331-305-4464
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    Fax                  |    630-381-8556
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Provider Business Mailing Address
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    Address Line         |    29W170 BUTTERFIELD RD STE 101-102 
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    City                 |    WARRENVILLE
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    State                |    IL
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    Zip                  |    60555-2809
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    Country              |    US
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    Telephone            |    331-305-4464
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    Fax                  |    630-381-8556
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Authorized Official
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    Title or Position    |    MANAGING MEMBER
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    Name                 |     JENNIFER  DICOSTANZO 
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    Credential           |    LCSW
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    Telephone            |    630-973-8583
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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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