| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 12/05/2023 |
| Last Update Date | 05/29/2025 |
| Certification Date | 05/29/2025 |
| Medicare PECOS PAC ID | 6002343852 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982246294 PECOS PAC ID: 7810424660 Enrollment ID: I20241218002584 |
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