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General NPI Number Information
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NPI Number | 1356217459
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Entity Type | Organization
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Legal Business Name | POWERS MINDSET THERAPY PLLC
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Dates
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Enumeration Date | 10/15/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 15 W HARRIS AVE # 17
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City | LA GRANGE
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State | IL
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Zip | 60525-2368
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Country | US
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Telephone | 779-429-6513
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Fax |
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Provider Business Mailing Address
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Address Line | 15 W HARRIS AVE # 17
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City | LA GRANGE
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State | IL
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Zip | 60525-2368
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Country | US
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Telephone | 779-429-6513
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Fax |
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Authorized Official
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Title or Position | FOUNDER, THERAPIST
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Name | MRS. KRISTEN POWERS
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Credential | LCSW, MPH
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Telephone | 502-939-3323
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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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