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General NPI Number Information
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NPI Number | 1275329872
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Entity Type | Organization
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Legal Business Name | LUCHAS VITALITY COUNSELING LLC
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Dates
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Enumeration Date | 04/18/2025
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Last Update Date | 04/18/2025
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Provider Practice Location Address
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Address Line | 11133 S AVENUE L
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City | CHICAGO
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State | IL
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Zip | 60617-6916
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Country | US
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Telephone | 773-615-7429
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Fax | 773-615-7429
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Provider Business Mailing Address
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Address Line | 11133 S AVENUE L
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City | CHICAGO
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State | IL
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Zip | 60617-6916
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Country | US
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Telephone | 773-615-7429
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Fax | 773-615-7429
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Authorized Official
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Title or Position | OWNER
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Name | MARITZA G RICO
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Credential | LCPC
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Telephone | 708-613-7525
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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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