Provider Demographics
NPI:1023331899
Name:EFFECTIVE LIVING, LLC
Entity type:Organization
Organization Name:EFFECTIVE LIVING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:MATTHEW
Authorized Official - Last Name:GILLIGAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:630-710-8226
Mailing Address - Street 1:1009 MARION AVE
Mailing Address - Street 2:
Mailing Address - City:GENEVA
Mailing Address - State:IL
Mailing Address - Zip Code:60134-3249
Mailing Address - Country:US
Mailing Address - Phone:630-710-8226
Mailing Address - Fax:
Practice Address - Street 1:0S125 CHURCH ST
Practice Address - Street 2:SUITE # 3
Practice Address - City:WINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60190-1242
Practice Address - Country:US
Practice Address - Phone:630-710-8226
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-09
Last Update Date:2010-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL029382941041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty