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General NPI Number Information
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NPI Number | 1730069683
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Entity Type | Organization
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Legal Business Name | ACTION TO HEALING, LLC
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Dates
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Enumeration Date | 09/03/2025
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 175 N HARBOR DR APT 403
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City | CHICAGO
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State | IL
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Zip | 60601-7738
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Country | US
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Telephone | 773-331-3519
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Fax |
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Provider Business Mailing Address
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Address Line | 2101 W BIRCHWOOD AVE
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City | CHICAGO
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State | IL
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Zip | 60645-2101
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Country | US
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Telephone | 773-331-3519
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Fax |
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Authorized Official
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Title or Position | CEO/THERAPIST
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Name | MERCEDES L FRIERSON
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Credential |
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Telephone | 773-331-3519
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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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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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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 | 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 #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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