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Organization
LIFE CARE WELLNESS, INC.
Active
Organization
LIFE CARE WELLNESS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RHONDA K KELLOWAY LCSW, SEP (PRESIDENT)
(630) 569-0822
Entity
Organization
Contact information
Practice address
800 ROOSEVELT RD STE C206, GLEN ELLYN, IL 60137-5851
(630) 423-5935
(630) 545-3630
Mailing address
800 ROOSEVELT RD STE C206, GLEN ELLYN, IL 60137-5851
(630) 423-5935
(630) 545-3630
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
180008781
IL
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
183500000X
Pharmacist
—
—
1835P1200X
Pharmacotherapy Pharmacist
—
—
1835P1300X
Psychiatric Pharmacist
—
—
363L00000X
Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
01/08/2016
Last updated
02/04/2021
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