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General NPI Number Information
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NPI Number | 1356223713
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Entity Type | Organization
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Legal Business Name | CENTER FOR HOLISTIC HEALING PLLC
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Dates
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Enumeration Date | 07/24/2025
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 10 W MAIN ST STE 201E
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City | CARY
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State | IL
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Zip | 60013-2868
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Country | US
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Telephone | 815-893-9470
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Fax |
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Provider Business Mailing Address
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Address Line | 2413 W ALGONQUIN RD # 126
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City | ALGONQUIN
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State | IL
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Zip | 60102-9402
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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/ THERAPIST
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Name | AMANDA J MARTINEZ
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Credential | LCSW
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Telephone | 815-893-9470
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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 |
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License Number State |
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