360 Degrees Wellness & Coaching LLC
NPI #1497176523 in Lake Forest, Illinois
Provider Information
- NPI Number
- 1497176523
- Entity Type
- Organization
- Organization Name
- 360 Degrees Wellness & Coaching LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Dec 16, 2013
- Last Updated
- Dec 16, 2013
Practice Location
- Address
- 225 E DEERPATH
- Address 2
- SUITE 280
- City
- Lake Forest
- State
- Illinois
- ZIP Code
- 60045-1952
- Phone
- (224) 619-6982
Authorized Official
- Name
- SOPHIA SHLAIN, LCSW
- Title
- OWNER
- Phone
- (224) 619-6982
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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