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General NPI Number Information
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NPI Number | 1942971148
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Entity Type | Organization
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Legal Business Name | MIND MADE WELL COUNSELING PLLC
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Dates
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Enumeration Date | 09/27/2021
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Last Update Date | 10/24/2023
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Provider Practice Location Address
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Address Line | 101 S HOUGH ST STE 9
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City | BARRINGTON
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State | IL
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Zip | 60010-4300
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Country | US
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Telephone | 847-561-6176
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Fax |
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Provider Business Mailing Address
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Address Line | 101 S HOUGH ST STE 9
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City | BARRINGTON
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State | IL
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Zip | 60010-4300
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Country | US
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Telephone | 847-561-6176
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. RACHEL MENGE
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Credential | LCSW
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Telephone | 847-581-6176
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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