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General NPI Number Information
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NPI Number | 1285387431
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Entity Type | Organization
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Legal Business Name | REVERENCE BEHAVIORAL HEALTH SERVICES LLC
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Dates
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Enumeration Date | 01/28/2022
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 28375 DAVIS PKWY STE 903
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City | WARRENVILLE
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State | IL
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Zip | 60555-3030
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Country | US
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Telephone | 312-471-1639
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Fax | 331-204-0806
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Provider Business Mailing Address
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Address Line | 539 ROOSEVELT RD # 1050
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City | GLEN ELLYN
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State | IL
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Zip | 60137-5734
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Country | US
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Telephone | 630-864-5775
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. AKWETEY MENSAH AKRONG
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Credential | PMHNP-BC
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Telephone | 630-864-5775
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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