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Organization
LIFE CHANGERS LLC
Active
Organization
LIFE CHANGERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CELESTE MCGILL LCSW (CEO)
(773) 531-9571
Entity
Organization
Contact information
Practice address
8543 S STONY ISLAND AVE STE 5, CHICAGO, IL 60617-2249
(773) 633-1934
(773) 901-2363
Mailing address
4937 S ST. LAWRENCE, CHICAGO, IL 60615-2114
(773) 531-9571
(773) 901-2363
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15149
IL
1041C0700X
Clinical Social Worker
Primary
149007758
IL
Other
Enumeration date
01/12/2015
Last updated
06/12/2024
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