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General NPI Number Information
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NPI Number | 1740865088
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Entity Type | Organization
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Legal Business Name | RHAPSODY BEHAVIORAL HEALTHCARE
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Dates
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Enumeration Date | 03/17/2021
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Last Update Date | 03/17/2021
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Provider Practice Location Address
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Address Line | 4012 S INDIANA AVE UNIT 4N
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City | CHICAGO
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State | IL
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Zip | 60653-4778
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Country | US
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Telephone | 773-610-5190
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 16037
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City | CHICAGO
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State | IL
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Zip | 60616-0001
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Country | US
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Telephone | 773-610-5190
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Fax |
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | DR. SOPHIA KIANA CARTER
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Credential | PHD
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Telephone | 773-610-5190
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | 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 | 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 | 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 #4
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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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