Organization
THIS LIFE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE MASZAK LCSW, CADC, CCTP (FOUNDER)
(331) 216-3363
Entity
Organization
Contact information
Practice address
803 N BRIDGE ST STE D, YORKVILLE, IL 60560-2156
(331) 216-3363
Mailing address
803 N BRIDGE ST STE D, YORKVILLE, IL 60560-2156
(331) 216-3363
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
14901765
IL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
14901765
IL
261QM1300X
Multi-Specialty Clinic/Center
Primary
14901765
IL
Other
Enumeration date
10/26/2017
Last updated
03/23/2022
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