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General NPI Number Information
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NPI Number | 1205560760
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Entity Type | Organization
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Legal Business Name | THERAPY FOR FAMILY PSYCHOLOGICAL SERVICES LLC
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Dates
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Enumeration Date | 07/11/2022
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Last Update Date | 07/11/2022
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Provider Practice Location Address
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Address Line | 15 SPINNING WHEEL RD STE 418
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City | HINSDALE
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State | IL
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Zip | 60521-7665
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Country | US
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Telephone | 630-570-0525
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Fax |
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Provider Business Mailing Address
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Address Line | 201 CHANTICLEER LN
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City | HINSDALE
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State | IL
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Zip | 60521-5022
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER, THERAPIST
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Name | DR. NICOLE LAROCCO
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Credential | PSYD
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Telephone | 630-570-0525
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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