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General NPI Number Information
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NPI Number | 1174436729
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Entity Type | Organization
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Legal Business Name | THE NEW PURPLE WELLNESS COUNSELING PLLC
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Dates
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Enumeration Date | 09/24/2026
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Last Update Date | 09/24/2026
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Provider Practice Location Address
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Address Line | 2619 W HEADING AVE STE 307
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City | WEST PEORIA
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State | IL
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Zip | 61604-4971
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Country | US
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Telephone | 309-220-8597
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Fax | 309-316-1334
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Provider Business Mailing Address
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Address Line | 7613 N BOSWORTH AVE APT 3E
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City | CHICAGO
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State | IL
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Zip | 60626-6244
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Country | US
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Telephone | 312-344-3132
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Fax | 309-316-1334
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Authorized Official
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Title or Position | MANAGING DIRECTOR
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Name | BENJAMIN HOWARD
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Credential | LCPC, LPC
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Telephone | 913-530-2976
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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 | 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 #3
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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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