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General NPI Number Information
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NPI Number | 1811816986
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Entity Type | Organization
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Legal Business Name | FAITH WELLNESS COLLECTIVE
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Dates
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Enumeration Date | 07/13/2026
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Last Update Date | 07/13/2026
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Provider Practice Location Address
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Address Line | 10031 W ROOSEVELT RD STE 210
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City | WESTCHESTER
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State | IL
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Zip | 60154-2669
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Country | US
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Telephone | 630-290-8735
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Fax |
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Provider Business Mailing Address
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Address Line | 10031 W ROOSEVELT RD STE 210
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City | WESTCHESTER
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State | IL
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Zip | 60154-2669
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER & CLINICAL DIRECTOR
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Name | IMAAN AHMED
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Credential |
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Telephone | 630-290-8735
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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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