Organization
LIFEHOUSE BEHAVIORAL HEALTH, LLC
Active
Other names
LifeHouse Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL EDWARD WALSH NCRS, MBA (CEO)
(312) 451-5996
Entity
Organization
Contact information
Practice address
12761 WESTERN AVE, BLUE ISLAND, IL 60406-2141
(708) 897-8581
Mailing address
12761 WESTERN AVE, BLUE ISLAND, IL 60406-2141
(708) 897-8581
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
04/07/2023
Last updated
09/10/2025
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