Provider Demographics
NPI:1518549385
Name:LIFE IN PROGRESS COUNSELING LLC
Entity Type:Organization
Organization Name:LIFE IN PROGRESS COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW
Authorized Official - Prefix:
Authorized Official - First Name:YELENA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAYCHIK
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:718-305-1471
Mailing Address - Street 1:2615 E 16TH ST FL 2
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-3805
Mailing Address - Country:US
Mailing Address - Phone:917-887-9600
Mailing Address - Fax:646-558-7795
Practice Address - Street 1:STEDWICK DR, BUILDING C
Practice Address - Street 2:SUITE 3B
Practice Address - City:BUDD LAKE
Practice Address - State:NJ
Practice Address - Zip Code:07828
Practice Address - Country:US
Practice Address - Phone:917-887-9600
Practice Address - Fax:646-558-7795
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-22
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty