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General NPI Number Information
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NPI Number | 1679488001
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Entity Type | Organization
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Legal Business Name | T SQUARE UNLIMITED LLC
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Dates
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Enumeration Date | 08/18/2026
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Last Update Date | 08/18/2026
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Provider Practice Location Address
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Address Line | 423 W VIRGINIA AVE
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City | EFFINGHAM
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State | IL
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Zip | 62401-2259
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Country | US
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Telephone | 217-821-7513
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Fax | 217-500-7757
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Provider Business Mailing Address
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Address Line | 423 W VIRGINIA AVE
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City | EFFINGHAM
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State | IL
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Zip | 62401-2259
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Country | US
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Telephone |
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Fax | 217-500-7757
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | THERESA LOY
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Credential | LOY
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Telephone | 217-821-7513
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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