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General NPI Number Information
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NPI Number | 1265626865
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Entity Type | Organization
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Legal Business Name | BLENDING FAMILIES, INC.
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Dates
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Enumeration Date | 08/28/2007
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 800 MAIN STREET
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City | ANTIOCH
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State | IL
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Zip | 60002
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Country | US
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Telephone | 224-456-0345
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Fax | 847-838-9907
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Provider Business Mailing Address
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Address Line | PO BOX 887
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City | LAKE VILLA
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State | IL
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Zip | 60046
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Country | US
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Telephone | 224-456-0345
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Fax | 847-838-9907
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Authorized Official
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Title or Position | OWNER
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Name | MRS. KATHLEEN ANGELL
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Credential | LCPC
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Telephone | 847-533-9769
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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