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General NPI Number Information
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NPI Number | 1790641785
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Entity Type | Organization
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Legal Business Name | A SECURE FOUNDATION
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Dates
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Enumeration Date | 01/02/2026
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Last Update Date | 01/02/2026
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Provider Practice Location Address
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Address Line | 1800 RIDGE RD UNIT 204
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City | HOMEWOOD
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State | IL
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Zip | 60430-1723
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Country | US
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Telephone | 708-414-0734
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Fax |
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Provider Business Mailing Address
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Address Line | 18030 OAKLEY AVE
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City | LANSING
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State | IL
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Zip | 60438-2133
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Country | US
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Telephone | 708-414-0734
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MICHELLE WILLIAMS
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Credential | ED.D
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Telephone | 708-414-0734
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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