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General NPI Number Information
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NPI Number | 1356145775
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Entity Type | Organization
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Legal Business Name | PLACIDITY MINDCARE PLLC
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Dates
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Enumeration Date | 04/03/2025
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Last Update Date | 04/03/2025
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Provider Practice Location Address
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Address Line | 221 E WALTON PL, 20E
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City | CHICAGO
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State | IL
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Zip | 60611-6507
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Country | US
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Telephone | 872-216-4515
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Fax |
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Provider Business Mailing Address
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Address Line | 221 E WALTON PL APT 20E
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City | CHICAGO
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State | IL
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Zip | 60611-6507
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/ PSYCHOTHERAPIST
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Name | ULYANA DOKO
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Credential | LCPC
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Telephone | 872-216-4515
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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