Life Stages Counseling Pllc | |
24047 W Lockport St Ste 201g Plainfield IL 60544-1680 | |
(815) 531-4556 | |
Not Available |
Full Name | Life Stages Counseling Pllc |
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Speciality | Counselor |
Location | 24047 W Lockport St Ste 201g, Plainfield, Illinois |
Authorized Official Name and Position | Lynn Buck (OWNER/COUNSELOR) |
Authorized Official Contact | 8155314556 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Life Stages Counseling Pllc 310 Drewsbury Ln Romeoville IL 60446-1784 Ph: (815) 531-4556 | Life Stages Counseling Pllc 24047 W Lockport St Ste 201g Plainfield IL 60544-1680 Ph: (815) 531-4556 |
NPI Number | 1609643212 |
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Provider Enumeration Date | 12/05/2023 |
Last Update Date | 05/29/2025 |
Certification Date | 05/29/2025 |
Medicare PECOS PAC ID | 6002343852 |
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Medicare Enrollment ID | O20241218002505 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609643212 | NPI | - | NPPES |
1982246294 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Lynn Fredrick Buck |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1982246294 PECOS PAC ID: 7810424660 Enrollment ID: I20241218002584 |
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