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NPI Code Detail

MEDICARE: LIFESKILLS COUNSELING SERVICES, LLC

MEDICARE: LIFESKILLS COUNSELING SERVICES, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
2273R00000XPsychiatric Hospital Unit

General Provider Information

NPI Number : 1053861989
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIFESKILLS COUNSELING SERVICES, LLC
Provider Business Mailing Address
First Line : 230 MARTIN AVE
Second Line :
City : NAPERVILLE
State : IL
Zip : 60540-6536
Country : US
Telephone Number : 630-848-1200
Fax Number : 630-848-1208
Provider Business Practice Location Address
First Line : 230 MARTIN AVE
Second Line :
City : NAPERVILLE
State : IL
Zip : 60540-6536
Country : US
Telephone Number : 630-848-1200
Fax Number : 630-848-1208
Authorized Official
Title or Position : DIRECTOR
Name : SYED JAFRY
Credential : MS, MBA
Telephone Number : 847-890-1441
Provider Enumeration Date : 10/04/2016
Last Update Date : 03/17/2026

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Directions to “LIFESKILLS COUNSELING SERVICES, LLC ” Practice Location

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