Provider Demographics
NPI:1992517973
Name:ADDICTION SUBSTANCE ABUSE LIFE SOLUITONS, LLC
Entity type:Organization
Organization Name:ADDICTION SUBSTANCE ABUSE LIFE SOLUITONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:BILLUPS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-657-2887
Mailing Address - Street 1:20015 S LA GRANGE RD # 1390
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:IL
Mailing Address - Zip Code:60423-3104
Mailing Address - Country:US
Mailing Address - Phone:708-657-2887
Mailing Address - Fax:708-570-1312
Practice Address - Street 1:22 E 33RD PL
Practice Address - Street 2:
Practice Address - City:STEGER
Practice Address - State:IL
Practice Address - Zip Code:60475-1181
Practice Address - Country:US
Practice Address - Phone:708-657-2887
Practice Address - Fax:708-570-1312
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-24
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175T00000XOther Service ProvidersPeer SpecialistGroup - Multi-Specialty