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General NPI Number Information
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NPI Number | 1528855822
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Entity Type | Organization
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Legal Business Name | ALLISON MANELLA THERAPY SERVICES, PLLC
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Dates
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Enumeration Date | 04/22/2025
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 3523 N LINCOLN AVE
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City | CHICAGO
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State | IL
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Zip | 60657-1137
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Country | US
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Telephone | 708-232-3945
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Fax |
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Provider Business Mailing Address
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Address Line | 3523 N LINCOLN AVE
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City | CHICAGO
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State | IL
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Zip | 60657-1137
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | FOUNDER AND SOLE MEMBER
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Name | ALLISON MANELLA
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Credential | LCSW
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Telephone | 708-232-3945
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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