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General NPI Number Information
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NPI Number | 1376262493
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Entity Type | Organization
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Legal Business Name | HARPER GRACE COUNSELING LLC
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Dates
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Enumeration Date | 08/23/2022
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 55 W 22ND ST STE 305
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City | LOMBARD
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State | IL
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Zip | 60148-7048
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Country | US
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Telephone | 708-320-1862
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Fax | 773-496-6881
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Provider Business Mailing Address
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Address Line | 1928 BENT GRASS WAY
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City | BOLINGBROOK
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State | IL
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Zip | 60490-5645
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Country | US
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Telephone | 708-320-1862
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Fax | 773-496-6881
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Authorized Official
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Title or Position | OWNER
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Name | LATORSHIA JAMES
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Credential | LCPC
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Telephone | 269-352-0362
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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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Taxonomy #2
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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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