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General NPI Number Information
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NPI Number | 1487141867
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Entity Type | Organization
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Legal Business Name | NUHOPE MENTAL HEALTH LTD
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Dates
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Enumeration Date | 04/20/2018
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Last Update Date | 11/01/2023
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Provider Practice Location Address
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Address Line | 2625 BUTTERFIELD RD STE 138S
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City | OAK BROOK
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State | IL
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Zip | 60523-1244
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Country | US
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Telephone | 708-582-1597
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Fax | 708-352-1699
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Provider Business Mailing Address
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Address Line | 2625 BUTTERFIELD RD STE 138S
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City | OAK BROOK
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State | IL
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Zip | 60523-1244
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Country | US
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Telephone | 708-582-1597
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Fax | 708-352-1699
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Authorized Official
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Title or Position | OWNER
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Name | JIMINE JOHNSON
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Credential | LCPC
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Telephone | 708-582-1597
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 180.009681
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License Number State | IL
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