LIFE SYNERGY LLC NPI 1114332004

NPI Information

NPI: 1114332004
Provider Name: LIFE SYNERGY, LLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
13235 W HIAWATHA DR
HOMER GLEN, IL
ZIP 60491
Phone: (708) 927-2449
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LIFE SYNERGY, LLC is a professional counselor in Homer Glen, IL. LIFE SYNERGY, LLC NPI is 1114332004. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

13235 W HIAWATHA DR
HOMER GLEN, IL
ZIP 60491-637
Phone: (708) 927-2449

The provider's authorized official is Karen L Vachulcik .
The authorized official title is Licensed Clinical Prof Counselor and has the following contact phone number (708) 927-2449.

The enumeration date for this NPI number is 6/30/2014 and was last updated on 6/30/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	30730	ILLINOIS	No
2	101YP2500X	Counselor	Professional	180008797	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1265869986	OTHER	ILLINOIS	AETNA
2	1265869986	OTHER	ILLINOIS	BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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