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General NPI Number Information
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NPI Number | 1255293734
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Entity Type | Organization
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Legal Business Name | LUCKY7 PSYCHOTHERAPY PLLC
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Dates
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Enumeration Date | 12/02/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 1020 W BRYN MAWR AVE STE 432
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City | CHICAGO
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State | IL
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Zip | 60660-4627
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Country | US
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Telephone | 872-327-3007
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Fax | 872-241-0399
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Provider Business Mailing Address
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Address Line | 1020 W BRYN MAWR AVE STE 432
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City | CHICAGO
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State | IL
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Zip | 60660-4627
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Country | US
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Telephone | 872-327-3007
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Fax | 872-241-0399
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Authorized Official
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Title or Position | THERAPIST
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Name | TESS BRIEVA
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Credential | LCSW
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Telephone | 872-327-3007
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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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