Provider Demographics
NPI:1053861989
Name:LIFESKILLS COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:LIFESKILLS COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SYED
Authorized Official - Middle Name:N
Authorized Official - Last Name:JAFRY
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:847-890-1441
Mailing Address - Street 1:PO BOX 2800
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60567-2800
Mailing Address - Country:US
Mailing Address - Phone:630-848-1200
Mailing Address - Fax:
Practice Address - Street 1:230 MARTIN AVE
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-6536
Practice Address - Country:US
Practice Address - Phone:630-848-1200
Practice Address - Fax:630-848-1208
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-04
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health