| Lifepoint Child & Family Therapy | |
|
1870 W Winchester Rd Ste 203 Libertyville IL 60048-5360 | |
| (224) 208-5228 | |
| Not Available |
| Full Name | Lifepoint Child & Family Therapy |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1870 W Winchester Rd Ste 203, Libertyville, Illinois |
| Authorized Official Name and Position | Kristin E Patten (CEO/OWNER) |
| Authorized Official Contact | 2242085228 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifepoint Child & Family Therapy 1870 W Winchester Rd Ste 203 Libertyville IL 60048-5360 Ph: (224) 208-5228 | Lifepoint Child & Family Therapy 1870 W Winchester Rd Ste 203 Libertyville IL 60048-5360 Ph: (224) 208-5228 |
| NPI Number | 1649739152 |
|---|---|
| Provider Enumeration Date | 03/14/2019 |
| Last Update Date | 10/19/2023 |
| Certification Date | 10/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649739152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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