| This Life Counseling, Llc | |
|
803 N Bridge St Ste D Yorkville IL 60560-2156 | |
| (331) 216-3363 | |
| Not Available |
| Full Name | This Life Counseling, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 803 N Bridge St Ste D, Yorkville, Illinois |
| Authorized Official Name and Position | Stephanie Maszak (FOUNDER) |
| Authorized Official Contact | 3312163363 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| This Life Counseling, Llc 803 N Bridge St Ste D Yorkville IL 60560-2156 Ph: (331) 216-3363 | This Life Counseling, Llc 803 N Bridge St Ste D Yorkville IL 60560-2156 Ph: (331) 216-3363 |
| NPI Number | 1295247518 |
|---|---|
| Provider Enumeration Date | 10/26/2017 |
| Last Update Date | 03/23/2022 |
| Certification Date | 03/23/2022 |
| Medicare PECOS PAC ID | 5395126882 |
|---|---|
| Medicare Enrollment ID | O20220714002540 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295247518 | NPI | - | NPPES |
| Provider Name | Stephanie Maszak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669744348 PECOS PAC ID: 6204217797 Enrollment ID: I20220714002610 |
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