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General NPI Number Information
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NPI Number | 1962926626
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Entity Type | Organization
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Legal Business Name | CENTER OF ATTENTION COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 08/03/2017
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Last Update Date | 08/10/2017
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Provider Practice Location Address
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Address Line | 215 REMINGTON BLVD STE G2
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City | BOLINGBROOK
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State | IL
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Zip | 60440-3663
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Country | US
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Telephone | 603-687-0693
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Fax | 630-596-1622
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Provider Business Mailing Address
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Address Line | PO BOX 158
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City | BOLINGBROOK
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State | IL
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Zip | 60440-0143
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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 | CLINICAL THERAPIST
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Name | ALICEA BAILEY
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Credential |
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Telephone | 630-687-0693
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 30051
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License Number State | IL
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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 | 180.00998
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License Number State | IL
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Taxonomy #3
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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 | 180.009998
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 180.00998
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License Number State | IL
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Taxonomy #5
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number | 180.009998
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License Number State | IL
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Taxonomy #6
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number | 30051
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License Number State | IL
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Taxonomy #7
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Taxonomy Code | 276400000X
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Taxonomy Name | Substance Use Disorder Rehabilitation Hospital Unit
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License Number | 30051
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License Number State | IL
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Taxonomy #8
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Taxonomy Code | 3245S0500X
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Taxonomy Name | Children's Substance Abuse Rehabilitation Facility
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License Number | 30051
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License Number State | IL
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Taxonomy #9
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 180.00998
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License Number State | IL
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