LIFE STAGES COUNSELING PLLC NPI 1609643212

NPI Information

NPI: 1609643212
Provider Name: LIFE STAGES COUNSELING PLLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
24047 W LOCKPORT ST STE 201G
PLAINFIELD, IL
ZIP 60544
Phone: (815) 531-4556
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LIFE STAGES COUNSELING PLLC is a mental health (including community mental health center) clinic center in Plainfield, IL. LIFE STAGES COUNSELING PLLC NPI is 1609643212. The provider is registered as an organization entity type.

The provider's business location address is:

24047 W LOCKPORT ST STE 201G
PLAINFIELD, IL
ZIP 60544-680
Phone: (815) 531-4556

The provider's authorized official is Lynn Buck .
The authorized official title is Owner/counselor and has the following contact phone number (815) 531-4556.

The enumeration date for this NPI number is 12/5/2023 and was last updated on 12/5/2023.

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	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			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	1982246294	MEDICAID	ILLINOIS

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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