Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
LIFE IMPACT CIRCLES OF WELLNESS
Active
Organization
LIFE IMPACT CIRCLES OF WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA COOK DRPH, LCPC, LPCC (PRACTICE OWNER/SOLE THERAPYPROVIDER)
(312) 561-4292
Entity
Organization
Contact information
Practice address
376 HIGHKNOB RD, BOLINGBROOK, IL 60440-3268
(312) 561-4292
Mailing address
1112 W BOUGHTON RD # 146, BOLINGBROOK, IL 60440-1508
(312) 561-4292
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up