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General NPI Number Information
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NPI Number | 1316316953
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Entity Type | Organization
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Legal Business Name | STABLEWAY COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 09/24/2015
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 444 S. RAND ROAD SUITE 207
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City | LAKE ZURICH
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State | IL
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Zip | 60047-2362
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Country | US
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Telephone | 847-847-1911
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Fax |
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Provider Business Mailing Address
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Address Line | 444 S. RAND ROAD SUITE 207
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City | LAKE ZURICH
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State | IL
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Zip | 60047-2362
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Country | US
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Telephone | 847-847-1911
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | JILL HORAN
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Credential | LCSW
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Telephone | 815-529-1295
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 149016742
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 149016473
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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