Organization
CHANGING PHASES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN WILLIAM SCHLOER (MEMBER)
(224) 421-6235
Entity
Organization
Contact information
Practice address
142 HAWLEY ST STE 1, GRAYSLAKE, IL 60030-3653
(224) 421-6235
(630) 349-8131
Mailing address
142 HAWLEY ST STE 1, GRAYSLAKE, IL 60030-3653
(224) 421-6235
(630) 349-8131
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/25/2021
Last updated
03/08/2024
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