| Faithlife Counseling | |
|
2215 Lakeside Dr Bannockburn IL 60015-1265 | |
| (847) 295-1600 | |
| (847) 295-1609 |
| Full Name | Faithlife Counseling |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 2215 Lakeside Dr, Bannockburn, Illinois |
| Authorized Official Name and Position | Mary Beth Bussert (PRESIDENT) |
| Authorized Official Contact | 8472246762 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Faithlife Counseling 2215 Lakeside Dr Bannockburn IL 60015-1265 Ph: (847) 295-1600 | Faithlife Counseling 2215 Lakeside Dr Bannockburn IL 60015-1265 Ph: (847) 295-1600 |
| NPI Number | 1295117968 |
|---|---|
| Provider Enumeration Date | 06/18/2015 |
| Last Update Date | 06/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295117968 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 180004924 (Illinois) | Primary |
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