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General NPI Number Information
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NPI Number | 1548136583
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Entity Type | Organization
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Legal Business Name | DECATUR COUNSELING CENTER, LLC
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Dates
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Enumeration Date | 10/16/2025
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 3040 N UNIVERSITY AVE STE 2
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City | DECATUR
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State | IL
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Zip | 62526-1393
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Country | US
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Telephone | 217-872-1700
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Fax | 217-872-1366
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Provider Business Mailing Address
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Address Line | 3040 N UNIVERSITY AVE STE 2
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City | DECATUR
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State | IL
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Zip | 62526-1393
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Country | US
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Telephone | 217-872-1700
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Fax | 217-872-1366
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | MS. PAMELA S BURKHART
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Credential | LCSW
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Telephone | 217-855-7856
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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