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General NPI Number Information
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NPI Number | 1194410886
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Entity Type | Organization
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Legal Business Name | HOPE & HEALING PSYCHOTHERAPY PC
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Dates
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Enumeration Date | 04/07/2023
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Last Update Date | 06/07/2023
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Provider Practice Location Address
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Address Line | 1000 HART RD STE 205
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City | BARRINGTON
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State | IL
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Zip | 60010-2675
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Country | US
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Telephone | 847-754-3838
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Fax | 847-599-3708
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Provider Business Mailing Address
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Address Line | 1N349 FARWELL ST
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City | CAROL STREAM
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State | IL
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Zip | 60188-2322
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Country | US
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Telephone | 224-655-0031
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | DR. LORA WIENS
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Credential | PSY.D.
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Telephone | 224-655-0031
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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 | 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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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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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 | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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