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General NPI Number Information
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NPI Number | 1588342430
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Entity Type | Organization
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Legal Business Name | HYKELYFE, PLLC
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Dates
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Enumeration Date | 07/10/2023
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Last Update Date | 07/10/2023
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Provider Practice Location Address
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Address Line | 7330 W COLLEGE DR STE 206
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City | PALOS HEIGHTS
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State | IL
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Zip | 60463-1184
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Country | US
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Telephone | 708-480-2066
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Fax |
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Provider Business Mailing Address
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Address Line | 7330 W COLLEGE DR STE 206
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City | PALOS HEIGHTS
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State | IL
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Zip | 60463-1184
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Country | US
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Telephone | 708-480-2066
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BRITTANY STEVENSON
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Credential | MA, LCPC
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Telephone | 708-480-2766
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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