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General NPI Number Information
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NPI Number | 1609295724
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Entity Type | Organization
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Legal Business Name | P S ITS COUNSELING LTD
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Dates
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Enumeration Date | 04/16/2014
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 116 N CHICAGO ST STE 304
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City | JOLIET
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State | IL
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Zip | 60432-4212
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Country | US
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Telephone | 708-308-0453
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Fax |
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Provider Business Mailing Address
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Address Line | 13550 W CHICAGO BLOOMINGTON TRL
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City | HOMER GLEN
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State | IL
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Zip | 60491-6124
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Country | US
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Telephone | 708-308-0453
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Fax | 631-498-0453
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Authorized Official
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Title or Position | FOUNDER
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Name | PAYAL SUD
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Credential | LCSW,ICDVP
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Telephone | 786-475-5468
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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