Organization Name: | LIVE LOVE AND GROWTH |
NPI Number: | 1740681519 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DIA LIEBERENZ (CLINICAL THERAPIST) |
Mailing Address: | 1010 Jorie Blvd Suite 112 Oak Brook |
State: | IL US |
Postal Code: | 605232215 |
Phone Number: | 3312501586 |
Fax Number: | |
NPI Enumeration Date: | 09/10/2014 |
NPI Last Update Date: | 09/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 180.009005 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |