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General NPI Number Information
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NPI Number | 1780193714
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Entity Type | Organization
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Legal Business Name | ERINN WILLIAMS LCPC LLC
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Dates
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Enumeration Date | 09/21/2017
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Last Update Date | 02/11/2020
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Provider Practice Location Address
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Address Line | 30 N. MICHIGAN
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City | CHICAGO
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State | IL
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Zip | 60602
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Country | US
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Telephone | 816-804-3544
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Fax |
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Provider Business Mailing Address
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Address Line | 30 N MICHIGAN AVE STE 1009
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City | CHICAGO
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State | IL
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Zip | 60602-3751
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Country | US
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Telephone | 816-804-3544
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ERINN WILLIAMS
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Credential | LCPC
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Telephone | 816-804-3544
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 180010797
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License Number State | IL
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