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General NPI Number Information
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NPI Number | 1851110761
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Entity Type | Organization
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Legal Business Name | CALM SKIES THERAPY PLLC
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Dates
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Enumeration Date | 10/08/2024
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Last Update Date | 04/25/2025
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Provider Practice Location Address
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Address Line | 1100 JORIE BLVD STE 234
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City | OAK BROOK
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State | IL
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Zip | 60523-4418
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Country | US
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Telephone | 630-423-7706
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Fax |
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Provider Business Mailing Address
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Address Line | 1100 JORIE BLVD STE 234
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City | OAK BROOK
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State | IL
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Zip | 60523-4418
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Country | US
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Telephone | 630-423-7706
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | NICOLE C JORDAN
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Credential |
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Telephone | 630-423-7706
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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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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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