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NPI 1205691797

NPI 1205691797 : CALL TALK VENT, LLC : CHICAGO, IL

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General NPI Number Information
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    NPI Number           |    1205691797
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    Entity Type          |    Organization 
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    Legal Business Name  |    CALL TALK VENT, LLC 
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Dates
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    Enumeration Date     |    02/14/2024
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    Last Update Date     |    02/14/2024
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Provider Practice Location Address
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    Address Line         |    8248 S LAFLIN ST 
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    City                 |    CHICAGO
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    State                |    IL
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    Zip                  |    60620-3956
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    Country              |    US
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    Telephone            |    855-744-3999
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    Fax                  |    855-393-0238
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Provider Business Mailing Address
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    Address Line         |    21200 S LA GRANGE RD UNIT 269 
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    City                 |    FRANKFORT
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    State                |    IL
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    Zip                  |    60423-2003
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    Country              |    US
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    Telephone            |    855-744-3999
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    Fax                  |    855-393-0238
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     ANITA  MCCLURE 
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    Credential           |    
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    Telephone            |    855-755-3999
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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        |    103T00000X
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    Taxonomy Name        |    Psychologist
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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        |    103TF0000X
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    Taxonomy Name        |    Family Psychologist
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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        |    104100000X
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    Taxonomy Name        |    Social Worker
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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        |    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 #6
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #7
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    Taxonomy Code        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #8
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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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