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General NPI Number Information
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NPI Number | 1265045132
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Entity Type | Organization
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Legal Business Name | BEYOND ANXIETY COUNSELING, LLC
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Dates
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Enumeration Date | 08/28/2020
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Last Update Date | 09/02/2020
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Provider Practice Location Address
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Address Line | 8000 KILPATRICK AVE UNIT 2A
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City | SKOKIE
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State | IL
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Zip | 60076-5504
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Country | US
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Telephone | 874-240-4265
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Fax |
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Provider Business Mailing Address
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Address Line | 4957 OAKTON ST # 255
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City | SKOKIE
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State | IL
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Zip | 60077-2903
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Country | US
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Telephone | 872-240-4265
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | HANIYYAH ZAYNAB TAUFIQUE
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Credential | LCPC
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Telephone | 872-240-4265
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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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