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General NPI Number Information
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NPI Number | 1669138582
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Entity Type | Organization
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Legal Business Name | HEALING EMPOWERING & LEARNING PROFESSIONALS LLC
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Dates
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Enumeration Date | 11/15/2021
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Last Update Date | 11/15/2021
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Provider Practice Location Address
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Address Line | 2930 S MICHIGAN AVE STE 100
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City | CHICAGO
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State | IL
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Zip | 60616-3484
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Country | US
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Telephone | 773-819-5504
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Fax | 800-220-1656
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Provider Business Mailing Address
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Address Line | 2930 S MICHIGAN AVE STE 100
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City | CHICAGO
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State | IL
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Zip | 60616-3484
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Country | US
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Telephone | 773-819-5504
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Fax | 800-220-1656
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Authorized Official
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Title or Position | OWNER
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Name | KAREN MCCURTIS
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Credential | PHD
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Telephone | 773-819-5504
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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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 | 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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Taxonomy #3
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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