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Organization
ON THE MOVE SOLUTIONS, INC.
Active
Organization
ON THE MOVE SOLUTIONS, INC.
Active
Other names
PEACE centered WHOLENESS
Organization subpart
No
Provider details
NPI number
Authorized official
ORLANDO DAVIS L.C.S.W. (CEO)
(888) 417-0274
Entity
Organization
Contact information
Practice address
2938 E. 91ST, SUITE 208, CHICAGO, IL 60617-3868
(312) 401-5507
(888) 419-3986
Mailing address
2938 E. 91ST STREET, SUITE 208, CHICAGO, IL 60617-3868
(888) 417-0274
(888) 419-3986
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
149015621
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IL8875
MEDICARE PTAN
IL
Enumeration date
07/31/2014
Last updated
07/31/2014
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