FAITHLIFE COUNSELING NPI 1295117968

NPI Information

  • NPI: 1295117968
  • Provider Name: FAITHLIFE COUNSELING
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Doing Business As: THE BALDWIN CENTER
  • Address: 2215 LAKESIDE DR
    BANNOCKBURN, IL
    ZIP 60015
  • Phone: (847) 295-1600

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NPI Details

FAITHLIFE COUNSELING is an adult mental health clinic center in Bannockburn, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. FAITHLIFE COUNSELING NPI is 1295117968. The provider is registered as an organization entity type.
The provider Is Doing Business As The Baldwin Center.

The provider's business location address is:

2215 LAKESIDE DR
BANNOCKBURN, IL
ZIP 60015-265
Phone: (847) 295-1600
Fax: (847) 295-1609

The provider's authorized official is Mary Beth Bussert .
The authorized official title is President and has the following contact phone number (847) 224-6762.

The enumeration date for this NPI number is 6/18/2015 and was last updated on 6/18/2015.

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
1261QM0850XClinic/CenterAdult Mental Health180004924ILLINOISYes

What is NPI?

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This page was last updated on: 11/21/2025

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