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General NPI Number Information
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NPI Number | 1811891492
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Entity Type | Organization
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Legal Business Name | LOVE WITHIN THERAPY
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Dates
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Enumeration Date | 10/06/2026
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Last Update Date | 10/06/2026
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Provider Practice Location Address
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Address Line | 2836 WALL AVE
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City | WAUKEGAN
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State | IL
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Zip | 60087-3507
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Country | US
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Telephone | 224-381-8977
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Fax |
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Provider Business Mailing Address
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Address Line | 2836 WALL AVE
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City | WAUKEGAN
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State | IL
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Zip | 60087-3507
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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 | THERAPIST
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Name | MAYRA SOTOMAYOR
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Credential | LCPC
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Telephone | 224-381-8977
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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 | NULL
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