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General NPI Number Information
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NPI Number | 1962916809
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Entity Type | Organization
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Legal Business Name | PATTERNS AND THREADS PSYCHOTHERAPY & CONSULTATION PLLC
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Dates
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Enumeration Date | 11/30/2017
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 3020 N KIMBALL AVE
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City | CHICAGO
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State | IL
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Zip | 60618-6812
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Country | US
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Telephone | 773-484-7948
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Fax |
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Provider Business Mailing Address
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Address Line | 2644 N CENTRAL PARK AVE
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City | CHICAGO
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State | IL
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Zip | 60647-1102
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Country | US
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Telephone | 773-484-7948
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Fax |
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Authorized Official
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Title or Position | OWNER/CLINICAL SOCIAL WORKER
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Name | MICHELLE LYN PARIS
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Credential | LCSW
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Telephone | 773-484-7948
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 248.001630
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License Number State | IL
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