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Search › Illinois › 363A00000X

Paige Petite

NPI 1396558631 · on the registry since 2025

Practice

Address
1400 W Randolph St Unit 1702
Chicago, IL 60607
Phone
(785) 307-8043
Organisation at this address
Lavender Moon Self Illuminating Counseling Services Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Additional practice sites

  • 2790 Clay Edwards Dr Ste 1200, North Kansas City, MO

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-02-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois