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General NPI Number Information
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NPI Number | 1194649335
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Entity Type | Organization
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Legal Business Name | GRACEFUL TRANSFORMATION COUNSELING
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Dates
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Enumeration Date | 08/10/2026
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Last Update Date | 08/10/2026
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Provider Practice Location Address
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Address Line | 403 W GALENA BLVD STE 107
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City | AURORA
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State | IL
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Zip | 60506-3948
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Country | US
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Telephone | 815-712-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 1147 BROOK FOREST AVE STE 772
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City | SHOREWOOD
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State | IL
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Zip | 60404-8845
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Country | US
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Telephone | 815-712-4000
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Fax |
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Authorized Official
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Title or Position | OWNER, MANAGER
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Name | MS. JANA HAYES
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Credential | LCSW
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Telephone | 815-616-4700
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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 |
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License Number State |
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