Provider Demographics
NPI:1003700527
Name:LIFE'S PATHWAY: THERAPEUTIC SERVICES
Entity type:Organization
Organization Name:LIFE'S PATHWAY: THERAPEUTIC SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / CLINICAL THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHNATHAN
Authorized Official - Middle Name:PHILIP
Authorized Official - Last Name:DUNN
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:630-802-8376
Mailing Address - Street 1:114 HAMLET CIR
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:IL
Mailing Address - Zip Code:60538-3024
Mailing Address - Country:US
Mailing Address - Phone:630-802-8376
Mailing Address - Fax:
Practice Address - Street 1:114 HAMLET CIR
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:IL
Practice Address - Zip Code:60538-3024
Practice Address - Country:US
Practice Address - Phone:630-802-8376
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty