National Provider Identifier Database

CHANGING PHASES LLC
Professional


Contact Information

CHANGING PHASES, LLC
142 HAWLEY ST STE 1
GRAYSLAKE, IL60030-3653
Phone: 224-421-6235
Fax: 630-349-8131
Website:
Specialty Taxonomy Code
* Professional 101YP2500X
Addiction (Substance Use Disorder) 101YA0400X
Counselor 101Y00000X
Mental Health 101YM0800X

* Indicates primary specialty

NPI Profile & details for CHANGING PHASES, LLC

NPI Number 1144802521
Legal business name
LBN
CHANGING PHASES, LLC
Authorized official JUSTIN SCHLOER - (MEMBER)
Entity Organization
Organization subpart No
Enumeration date 04/25/2021
Last updated 03/08/2024 - About 2 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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