Provider Demographics
NPI:1043062755
Name:LIFEBREATH COUNSELING
Entity Type:Organization
Organization Name:LIFEBREATH COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHULTZ
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:847-962-0306
Mailing Address - Street 1:608 WEBLEY LN
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60193-4316
Mailing Address - Country:US
Mailing Address - Phone:847-962-0306
Mailing Address - Fax:
Practice Address - Street 1:2300 S. BARRINGTON RD
Practice Address - Street 2:SUITE 400 PMB 467
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60169
Practice Address - Country:US
Practice Address - Phone:847-962-0306
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LISA SCHULTZ
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-04-04
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty