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General NPI Number Information
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NPI Number | 1255251849
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Entity Type | Organization
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Legal Business Name | EXCLUSIVE TALK THERAPY LLC
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Dates
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Enumeration Date | 07/15/2026
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Last Update Date | 07/15/2026
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Provider Practice Location Address
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Address Line | 3000 41ST ST
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City | MOLINE
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State | IL
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Zip | 61265-7859
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Country | US
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Telephone | 309-380-8752
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Fax |
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Provider Business Mailing Address
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Address Line | 3000 41ST ST
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City | MOLINE
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State | IL
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Zip | 61265-7859
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Country | US
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Telephone | 309-380-8752
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TAMMY REED
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Credential | MA QMHP CADC
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Telephone | 309-380-8752
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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 #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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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 | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State |
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