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General NPI Number Information
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NPI Number | 1639975881
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Entity Type | Organization
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Legal Business Name | GARDEN HEALTH GROUP LLC
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Dates
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Enumeration Date | 02/19/2025
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 414 CLINTON PLACE SUITE 106
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City | RIVER FOREST
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State | IL
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Zip | 60305-2248
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Country | US
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Telephone | 708-866-6766
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Fax | 708-292-4518
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Provider Business Mailing Address
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Address Line | 1219 N TAYLOR AVE
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City | OAK PARK
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State | IL
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Zip | 60302-1147
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Country | US
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Telephone | 818-298-1828
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Fax |
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Authorized Official
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Title or Position | OWNER, DIRECTOR
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Name | DR. HEATHER L. CORWIN
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Credential | PHD
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Telephone | 818-298-1828
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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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 | 103TF0000X
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Taxonomy Name | Family Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #7
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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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Taxonomy #8
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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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Taxonomy #9
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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