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General NPI Number Information
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NPI Number | 1568029338
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Entity Type | Organization
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Legal Business Name | INSPIRE WITHIN THERAPY, PLLC
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Dates
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Enumeration Date | 05/28/2019
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Last Update Date | 08/10/2021
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Provider Practice Location Address
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Address Line | 4305 N LINCOLN AVE STE L
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City | CHICAGO
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State | IL
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Zip | 60618-1807
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Country | US
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Telephone | 773-888-1794
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Fax |
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Provider Business Mailing Address
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Address Line | 4305 N LINCOLN AVE STE L
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City | CHICAGO
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State | IL
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Zip | 60618-1807
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Country | US
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Telephone | 773-888-1794
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Fax |
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Authorized Official
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Title or Position | OWNER, THERAPIST
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Name | RACHEL AREDIA
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Credential | LCPC, NCC
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Telephone | 773-888-1794
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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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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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