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General NPI Number Information
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NPI Number | 1598535056
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Entity Type | Organization
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Legal Business Name | UPWARD SPIRAL CONNECTIONS LLC
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Dates
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Enumeration Date | 01/05/2024
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Last Update Date | 01/05/2024
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Provider Practice Location Address
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Address Line | 2045 W GRAND AVE STE B
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City | CHICAGO
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State | IL
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Zip | 60612-1577
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Country | US
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Telephone | 219-644-5912
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Fax |
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Provider Business Mailing Address
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Address Line | 2045 W GRAND AVE STE B
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City | CHICAGO
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State | IL
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Zip | 60612-1577
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MICHELLE BELFORD
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Credential | LCPC
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Telephone | 219-644-5912
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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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