Provider Demographics
NPI:1457538704
Name:SOFT LANDING INTERVENTIONS, LLC
Entity Type:Organization
Organization Name:SOFT LANDING INTERVENTIONS, LLC
Other - Org Name:SYMETRIA HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF PAYER RELATIONS
Authorized Official - Prefix:
Authorized Official - First Name:GARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHECHNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-721-1235
Mailing Address - Street 1:1240 E DIEHL RD STE 550
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-8206
Mailing Address - Country:US
Mailing Address - Phone:888-782-6966
Mailing Address - Fax:630-807-1284
Practice Address - Street 1:28373 DAVIS PKWY STE 500
Practice Address - Street 2:
Practice Address - City:WARRENVILLE
Practice Address - State:IL
Practice Address - Zip Code:60555-1437
Practice Address - Country:US
Practice Address - Phone:630-261-9220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-29
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILA-5218-0002-A251S00000X, 261QR0405X
261QM2800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2800XAmbulatory Health Care FacilitiesClinic/CenterMethadone
No251S00000XAgenciesCommunity/Behavioral Health
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder