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NPI 1164980249

NPI 1164980249 : BEYOND HEALING - A COUNSELING, WELLNESS & PERSONAL GROWTH CENTER : HOMER GLEN, IL

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General NPI Number Information
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    NPI Number           |    1164980249
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    Entity Type          |    Organization 
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    Legal Business Name  |    BEYOND HEALING - A COUNSELING, WELLNESS & PERSONAL GROWTH CENTER 
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Dates
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    Enumeration Date     |    03/07/2019
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    Last Update Date     |    07/15/2025
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Provider Practice Location Address
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    Address Line         |    13728 W CAREFREE DR 
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    City                 |    HOMER GLEN
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    State                |    IL
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    Zip                  |    60491-8655
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    Country              |    US
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    Telephone            |    708-837-3722
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    13728 W CAREFREE DR 
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    City                 |    HOMER GLEN
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    State                |    IL
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    Zip                  |    60491-8655
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    Country              |    US
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    Telephone            |    708-837-3722
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER, COUNSELOR
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    Name                 |    MS. TRACEY KIM SNOW 
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    Credential           |    MA, LCPC
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    Telephone            |    708-837-3722
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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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