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General NPI Number Information
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NPI Number | 1861070773
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Entity Type | Organization
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Legal Business Name | THE BEHAVIORAL SOLUTIONS GROUP, PLLC
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Dates
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Enumeration Date | 03/31/2021
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Last Update Date | 04/27/2021
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Provider Practice Location Address
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Address Line | 109 FAIRFIELD WAY STE 205
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City | BLOOMINGDALE
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State | IL
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Zip | 60108-1500
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Country | US
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Telephone | 815-272-3476
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Fax |
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Provider Business Mailing Address
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Address Line | 109 FAIRFIELD WAY STE 205
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City | BLOOMINGDALE
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State | IL
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Zip | 60108-1500
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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 | CO-OWNER/PSYCHOTHERAPIST
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Name | MR. SCOTT HENRY VAN SLEE
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Credential | LPC
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Telephone | 815-272-3476
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional 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 | 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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