# THIS LIFE COUNSELING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295247518
- **Authorized official:** STEPHANIE MASZAK LCSW, CADC, CCTP (FOUNDER)
- **Authorized official phone:** (331) 216-3363

## Contact information

- **Practice address:** 803 N BRIDGE ST STE D, YORKVILLE, IL 60560-2156
- **Practice address phone:** (331) 216-3363
- **Mailing address:** 803 N BRIDGE ST STE D, YORKVILLE, IL 60560-2156
- **Mailing address phone:** (331) 216-3363

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0850X | Adult Mental Health Clinic/Center | 14901765 | IL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | 14901765 | IL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | 14901765 | IL | Yes |

## Other

- **Enumeration date:** 10/26/2017
- **Last updated:** 03/23/2022