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General NPI Number Information
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NPI Number | 1801550025
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Entity Type | Organization
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Legal Business Name | DWP COUNSELING AND WELLNESS LLC
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Dates
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Enumeration Date | 10/25/2021
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Last Update Date | 12/20/2021
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Provider Practice Location Address
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Address Line | 2314 N KIMBALL AVE # 1
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City | CHICAGO
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State | IL
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Zip | 60647-2420
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Country | US
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Telephone | 309-230-6529
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Fax |
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Provider Business Mailing Address
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Address Line | 4000 W MONTROSE AVE # 703
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City | CHICAGO
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State | IL
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Zip | 60641-2140
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Country | US
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Telephone | 847-496-3871
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Fax |
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Authorized Official
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Title or Position | OWNER/PSYCHOTHERAPIST
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Name | DANA PERLSON
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Credential |
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Telephone | 309-230-6529
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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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 | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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