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General NPI Number Information
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NPI Number | 1952291973
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Entity Type | Organization
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Legal Business Name | SUSAN CLOSE, LCPC, LMHC PSYCHOTHERAPY & WELLNESS, LLC
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Dates
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Enumeration Date | 07/09/2025
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 21 S EVERGREEN AVE STE 200
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60005-7800
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Country | US
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Telephone | 847-544-0135
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Fax |
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Provider Business Mailing Address
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Address Line | 330 S SCHOOL ST
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City | MOUNT PROSPECT
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State | IL
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Zip | 60056-3334
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Country | US
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Telephone | 847-772-1047
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Fax |
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Authorized Official
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Title or Position | OWNER/PSYCHOTHERAPIST
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Name | MS. SUSAN E CLOSE
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Credential | LCPC, LMHC
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Telephone | 847-772-1047
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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 | 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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