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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 Specialty Code Provider Type

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
LBN Legal business name CHANGING PHASES, LLC
Authorized official JUSTIN SCHLOER - (MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/25/2021
Last updated 03/08/2024 - About 2 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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