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NPI 1427661685

NPI 1427661685 : PEACE OF MIND PSYCHOLOGICAL SERVICES INC : WARRENVILLE, IL

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General NPI Number Information
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    NPI Number           |    1427661685
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    Entity Type          |    Organization 
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    Legal Business Name  |    PEACE OF MIND PSYCHOLOGICAL SERVICES INC 
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Dates
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    Enumeration Date     |    08/27/2020
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    Last Update Date     |    02/09/2024
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Provider Practice Location Address
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    Address Line         |    4320 WINFIELD RD STE 200 
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    City                 |    WARRENVILLE
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    State                |    IL
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    Zip                  |    60555-4023
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    Country              |    US
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    Telephone            |    630-465-9030
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    Fax                  |    630-686-5445
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Provider Business Mailing Address
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    Address Line         |    4320 WINFIELD RD STE 200 
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    City                 |    WARRENVILLE
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    State                |    IL
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    Zip                  |    60555-4023
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    Country              |    US
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    Telephone            |    630-465-9030
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    Fax                  |    630-686-5445
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     OLESIA  SHALAYSKA 
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    Credential           |    PSYD
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    Telephone            |    630-686-8875
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103TB0200X
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    Taxonomy Name        |    Cognitive & Behavioral Psychologist
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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        |    103TC1900X
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    Taxonomy Name        |    Counseling Psychologist
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    103TF0000X
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    Taxonomy Name        |    Family Psychologist
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    103TP2701X
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    Taxonomy Name        |    Group Psychotherapy Psychologist
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    
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    License Number State |    
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