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General NPI Number Information
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NPI Number | 1326976127
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Entity Type | Organization
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Legal Business Name | HERITAGE PATH COUNSELING PLLC
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Dates
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Enumeration Date | 05/12/2026
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Last Update Date | 05/12/2026
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Provider Practice Location Address
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Address Line | 214 S 3RD ST STE 200
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City | ST CHARLES
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State | IL
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Zip | 60174-2840
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Country | US
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Telephone | 630-492-1302
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Fax |
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Provider Business Mailing Address
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Address Line | 214 S 3RD ST STE 200
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City | ST CHARLES
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State | IL
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Zip | 60174-2840
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Country | US
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Telephone | 630-492-1302
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ELIZABETH CIBURA
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Credential | LCSW
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Telephone | 630-492-1302
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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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