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General NPI Number Information
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NPI Number | 1982404562
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Entity Type | Organization
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Legal Business Name | EMBRACING LIFE LLC
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Dates
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Enumeration Date | 03/13/2025
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 354 W MAPLE ST STE B
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City | NEW LENOX
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State | IL
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Zip | 60451-1611
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Country | US
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Telephone | 708-536-8459
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Fax |
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Provider Business Mailing Address
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Address Line | 11616 FLAGSTONE TURN
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City | FRANKFORT
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State | IL
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Zip | 60423-9019
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Country | US
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Telephone | 708-536-8459
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ELIZABETH LABRIOLA
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Credential | LCPC
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Telephone | 708-536-8459
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | 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 | 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 #3
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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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