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Organization
HEATHER COLLINS
Active
Organization
HEATHER COLLINS
Active
Other names
Lifestyle with Heather
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER COLLINS (OWNER)
(312) 399-4306
Entity
Organization
Contact information
Practice address
4943 S SAINT LAWRENCE AVE, UNIT 2, CHICAGO, IL 60615
(312) 399-4306
Mailing address
1440 W TAYLOR ST # 1481, CHICAGO, IL 60607-4623
(312) 399-4306
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/20/2023
Last updated
01/20/2023
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