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General NPI Number Information
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NPI Number | 1295607091
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Entity Type | Organization
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Legal Business Name | SPIRAL MENTAL HEALTH INNOVATIONS, LLC
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Dates
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Enumeration Date | 09/22/2025
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Last Update Date | 01/30/2026
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Provider Practice Location Address
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Address Line | 2551 DIVISION ST STE 103
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City | JOLIET
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State | IL
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Zip | 60435-9041
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Country | US
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Telephone | 331-688-2929
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Fax | 815-417-9328
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Provider Business Mailing Address
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Address Line | 1803 WAKE ISLAND DR
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City | JOLIET
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State | IL
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Zip | 60435-8531
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Country | US
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Telephone | 815-483-7424
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Fax |
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Authorized Official
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Title or Position | ORGANIZER
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Name | JANUARY ROBINSON
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Credential | PMHNP-BC
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Telephone | 815-483-7424
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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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