Changing Phases, LLC

NPI #1144802521 in Grayslake, Illinois

Provider Information

NPI Number: 1144802521
Entity Type: Organization
Organization Name: Changing Phases, LLC
Primary Specialty: Counselor - Professional
Enumeration Date: Apr 25, 2021
Last Updated: Mar 8, 2024

Practice Location

Address: 142 HAWLEY ST STE 1
City: Grayslake
State: Illinois
ZIP Code: 60030-3653
Phone: (224) 421-6235

Authorized Official

Name: JUSTIN WILLIAM SCHLOER
Title: MEMBER
Phone: (224) 421-6235

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Mental Health — Mental Health	101YM0800X
Counselor - Professional — Professional	101YP2500X	Primary

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