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General NPI Number Information
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NPI Number | 1548947153
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Entity Type | Organization
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Legal Business Name | HOPEFUL HUMANS COUNSELING, PLLC
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Dates
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Enumeration Date | 07/05/2023
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Last Update Date | 07/21/2023
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Provider Practice Location Address
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Address Line | 772 LISSON GRV
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City | NEW LENOX
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State | IL
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Zip | 60451-9563
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Country | US
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Telephone | 847-208-5194
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Fax |
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Provider Business Mailing Address
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Address Line | 20015 S LAGRANGE RD # 1173
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City | FRANKFORT
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State | IL
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Zip | 60423-3104
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Country | US
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Telephone | 708-320-8039
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KIMBERLY ELIZABETH KRIKS
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Credential | MSW, LCSW
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Telephone | 847-208-5194
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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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 | 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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