| Life Impact Circles Of Wellness | |
|
376 Highknob Rd Bolingbrook IL 60440-3268 | |
| (312) 561-4292 | |
| Not Available |
| Full Name | Life Impact Circles Of Wellness |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 376 Highknob Rd, Bolingbrook, Illinois |
| Authorized Official Name and Position | Lisa Cook (PRACTICE OWNER/SOLE THERAPYPROVIDER) |
| Authorized Official Contact | 3125614292 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Impact Circles Of Wellness 1112 W Boughton Rd # 146 Bolingbrook IL 60440-1508 Ph: (312) 561-4292 | Life Impact Circles Of Wellness 376 Highknob Rd Bolingbrook IL 60440-3268 Ph: (312) 561-4292 |
| NPI Number | 1326861907 |
|---|---|
| Provider Enumeration Date | 11/04/2024 |
| Last Update Date | 11/04/2024 |
| Certification Date | 11/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326861907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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