Organization Name: | EFFECTIVE LIVING, LLC |
NPI Number: | 1023331899 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES MATTHEW GILLIGAN (LICENSED CLINICAL SOCIAL WORKER) |
Mailing Address: | 0s125 Church St Suite # 3 Winfield |
State: | IL US |
Postal Code: | 601901242 |
Phone Number: | 6307108226 |
Fax Number: | |
NPI Enumeration Date: | 03/09/2010 |
NPI Last Update Date: | 07/20/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 02938294 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |