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NPI Code Detail

MEDICARE: UNTANGLED THOUGHTS LLC

MEDICARE: UNTANGLED THOUGHTS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1164359824
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNTANGLED THOUGHTS LLC
Provider Business Mailing Address
First Line : 6526 N ASHLAND AVE APT 2
Second Line :
City : CHICAGO
State : IL
Zip : 60626-4941
Country : US
Telephone Number : 406-303-9708
Fax Number :
Provider Business Practice Location Address
First Line : 6526 N ASHLAND AVE APT 2
Second Line :
City : CHICAGO
State : IL
Zip : 60626-4941
Country : US
Telephone Number : 406-303-9708
Fax Number :
Authorized Official
Title or Position : OWNER
Name : ALEXANDER JAYDEN PETERS
Credential :
Telephone Number : 406-303-9708
Provider Enumeration Date : 05/06/2026
Last Update Date : 05/06/2026

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Directions to “UNTANGLED THOUGHTS LLC ” Practice Location

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