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General NPI Number Information
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NPI Number | 1588519144
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Entity Type | Organization
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Legal Business Name | THE LISTENING LOFT PLLC
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Dates
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Enumeration Date | 02/28/2026
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Last Update Date | 03/26/2026
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Provider Practice Location Address
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Address Line | 380 N 6TH ST
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City | WOOD RIVER
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State | IL
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Zip | 62095-2144
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Country | US
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Telephone | 618-954-3910
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Fax |
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Provider Business Mailing Address
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Address Line | 380 N 6TH ST
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City | WOOD RIVER
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State | IL
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Zip | 62095-2144
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Country | US
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Telephone | 618-954-3910
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | BREAUNA HURD
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Credential |
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Telephone | 618-954-3910
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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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