CENTER FOR AUTHENTIC LIVING NPI 1417318700

NPI Information

  • NPI: 1417318700
  • Provider Name: CENTER FOR AUTHENTIC LIVING
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • CLIA Number: 14D1079694
  • Address: 120 MAIN ST
    SUITE 200
    PARK RIDGE, IL
    ZIP 60068
  • Phone: (847) 668-4859

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NPI Details

CENTER FOR AUTHENTIC LIVING is a mental health counselor in Park Ridge, IL. CENTER FOR AUTHENTIC LIVING NPI is 1417318700. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

120 MAIN ST
SUITE 200
PARK RIDGE, IL
ZIP 60068-044
Phone: (847) 668-4859

The provider's authorized official is Mari Richko .
The authorized official title is Owner and has the following contact phone number (847) 668-4869.

The CLIA number assigned to this NPI record is 14D1079694 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/14/2016 and was last updated on 3/14/2016.

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
1101YM0800XCounselorMental Health1326241860ILLINOISYes

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: 11/21/2025

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