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General NPI Number Information
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NPI Number | 1568372233
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Entity Type | Organization
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Legal Business Name | GORGES COUNSELING LLC
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Dates
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Enumeration Date | 09/08/2026
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Last Update Date | 09/08/2026
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Provider Practice Location Address
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Address Line | 3527 RIDGE RD
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City | LANSING
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State | IL
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Zip | 60438-3314
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Country | US
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Telephone | 773-977-2433
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Fax |
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Provider Business Mailing Address
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Address Line | 7116 S HONORE ST
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City | CHICAGO
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State | IL
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Zip | 60636-3724
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Country | US
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Telephone | 773-899-5097
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Fax | 773-434-9118
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Authorized Official
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Title or Position | OWNER
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Name | MR. DARWIN GORDON
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Credential | LCSW, CADC
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Telephone | 773-899-5097
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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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