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General NPI Number Information
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NPI Number | 1205328713
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Entity Type | Organization
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Legal Business Name | OAKHEART, CENTER FOR COUNSELING, MEDIATION, AND CONSULTATION, LLC
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Dates
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Enumeration Date | 05/31/2018
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Last Update Date | 10/22/2019
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Provider Practice Location Address
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Address Line | 240 EDWARD ST
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City | SYCAMORE
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State | IL
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Zip | 60178-2155
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Country | US
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Telephone | 630-570-0050
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Fax |
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Provider Business Mailing Address
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Address Line | 66 MILLER DR STE 105
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City | NORTH AURORA
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State | IL
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Zip | 60542-5144
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Country | US
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Telephone | 630-570-0050
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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 | KATHERINE HARRIS
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Credential | PHD
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Telephone | 630-570-0050
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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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