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General NPI Number Information
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NPI Number | 1336980796
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Entity Type | Organization
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Legal Business Name | THERAPY STUDIO HH, LLC
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Dates
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Enumeration Date | 06/01/2024
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Last Update Date | 06/01/2024
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Provider Practice Location Address
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Address Line | 7904 W 99TH PL
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City | PALOS HILLS
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State | IL
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Zip | 60465-1507
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Country | US
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Telephone | 815-515-0010
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Fax | 708-590-0759
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Provider Business Mailing Address
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Address Line | 26332 W HOLLYHOCK LN
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City | WILMINGTON
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State | IL
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Zip | 60481-9320
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Country | US
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Telephone | 708-906-5246
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Fax |
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | TRACY D STONE
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Credential | LCPC
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Telephone | 708-906-5246
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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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