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General NPI Number Information
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NPI Number | 1437046968
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Entity Type | Organization
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Legal Business Name | UNITED HOPE CENTER, INC.
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Dates
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Enumeration Date | 06/18/2025
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 18700 WOLF RD STE 225
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City | MOKENA
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State | IL
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Zip | 60448-8762
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Country | US
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Telephone | 815-249-1294
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Fax | 815-205-4406
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Provider Business Mailing Address
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Address Line | 18700 WOLF RD STE 225
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City | MOKENA
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State | IL
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Zip | 60448-8762
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Country | US
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Telephone | 815-249-1294
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Fax | 815-205-4406
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Authorized Official
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Title or Position | THERAPIST/OWNER
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Name | MRS. GABRIELA REBOLLAR
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Credential | MSW, LCSW
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Telephone | 815-249-1294
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) 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 | 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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