Healthcare Provider Details

I. General information

NPI: 1376470062
Provider Name (Legal Business Name): LIFE COUNSELING INSTITUTE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

535 PLAINFIELD RD STE H
WILLOWBROOK IL
60527-7626
US

IV. Provider business mailing address

535 PLAINFIELD RD STE H
WILLOWBROOK IL
60527-7626
US

V. Phone/Fax

Practice location:
  • Phone: 630-269-2886
  • Fax:
Mailing address:
  • Phone: 630-269-2886
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: ISABELLA LITTLE
Title or Position: THERAPIST
Credential: ALMFT
Phone: 601-669-6577