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NPI 1407087992

NPI 1407087992 : LLR COUNSELING SERVICES, LLC : CHICAGO, IL

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General NPI Number Information
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    NPI Number           |    1407087992
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    Entity Type          |    Organization 
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    Legal Business Name  |    LLR COUNSELING SERVICES, LLC 
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Dates
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    Enumeration Date     |    07/31/2009
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    Last Update Date     |    07/31/2009
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Provider Practice Location Address
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    Address Line         |    161 N CLARK ST 47TH FLOOR
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    City                 |    CHICAGO
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    State                |    IL
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    Zip                  |    60601-3206
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    Country              |    US
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    Telephone            |    312-527-5688
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    Fax                  |    312-527-3190
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Provider Business Mailing Address
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    Address Line         |    400 N LA SALLE DR UNIT 2907
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    City                 |    CHICAGO
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    State                |    IL
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    Zip                  |    60654-8539
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    Country              |    US
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    Telephone            |    312-527-5688
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    Fax                  |    312-527-3190
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Authorized Official
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    Title or Position    |    LCSW/OWNER
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    Name                 |     LINDSEY L. RIGGIN 
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    Credential           |    L.C.S.W.
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    Telephone            |    312-527-5688
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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       |    149.013452
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    License Number State |    IL
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