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General NPI Number Information
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NPI Number | 1609079755
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Entity Type | Organization
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Legal Business Name | LIFE STRATEGIES CENTER, INC.
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Dates
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Enumeration Date | 06/07/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5301 E STATE ST SUITE 215E
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City | ROCKFORD
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State | IL
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Zip | 61108-2901
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Country | US
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Telephone | 815-398-5433
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Fax |
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Provider Business Mailing Address
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Address Line | 5270 GINGERIDGE LN
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City | ROCKFORD
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State | IL
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Zip | 61114-5332
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Country | US
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Telephone | 815-398-5433
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | KAMI J HIMES
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Credential | LCPC
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Telephone | 815-398-5433
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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 | IL
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