LIFE RESET SOLUTIONS P.C. NPI 1902243090

NPI Information

NPI: 1902243090
Provider Name: LIFE RESET SOLUTIONS, P.C.
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
3633 W LAKE AVE
SUITE 404
GLENVIEW, IL
ZIP 60026
Phone: (312) 285-4729
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LIFE RESET SOLUTIONS, P.C. is an adult mental health clinic center in Glenview, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. LIFE RESET SOLUTIONS, P.C. NPI is 1902243090. The provider is registered as an organization entity type.

The provider's business location address is:

3633 W LAKE AVE
SUITE 404
GLENVIEW, IL
ZIP 60026-805
Phone: (312) 285-4729

The provider's authorized official is Janine Gauthier Mullady .
The authorized official title is Licensed Clinical Psychologist and has the following contact phone number (312) 285-4729.

The enumeration date for this NPI number is 5/29/2013 and was last updated on 10/21/2013.

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	261QM0850X	Clinic/Center	Adult Mental Health	071006689	ILLINOIS	Yes

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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