AUTHENTIC LIFE COUNSELING CHICAGO PLLC NPI 1770231789

NPI Information

NPI: 1770231789
Provider Name: AUTHENTIC LIFE COUNSELING CHICAGO PLLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
661 W LAKE ST STE 2S
CHICAGO, IL
ZIP 60661
Phone: (312) 448-7938
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AUTHENTIC LIFE COUNSELING CHICAGO PLLC is a mental health counselor in Chicago, IL. AUTHENTIC LIFE COUNSELING CHICAGO PLLC NPI is 1770231789. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

661 W LAKE ST STE 2S
CHICAGO, IL
ZIP 60661-034
Phone: (312) 448-7938

The provider's authorized official is Ashley Dawn Repinski .
The authorized official title is Owner and has the following contact phone number (312) 448-7938.

The enumeration date for this NPI number is 3/17/2022 and was last updated on 3/17/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			No
2	101YM0800X	Counselor	Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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