Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lifeplace, Inc

Organization Counselor · NPI 1588920615

Lifeplace, Inc is a Counselor in Libertyville, Illinois. Licensed in Illinois. Registered with an NPI since 2012.

Licensed in
IL
In the registry since
2012
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1580 S Milwaukee Ave Ste 307
Libertyville, IL 60048-3764
Phone: (847) 557-0645
Fax: (847) 557-9809
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 180003417 (IL)

Record details

NPI number1588920615
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Drew Mjoen — President · (847) 557-0645
NPI enumeratedApril 3, 2012
Last updated in NPPESApril 3, 2012
Mailing address1580 S Milwaukee Ave, Suite 307, Libertyville, IL 60048-3764

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