Eternitys Path LLC a Counseling and Family Resource Center

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

ETERNITYS PATH LLC A COUNSELING AND FAMILY RESOURCE CENTER

Practice address

444 N Michigan Ave Ste 1200
Chicago, IL 60611-3959

Phone

(312) 276-5155

Fax

(702) 910-3231

NPI assigned

Aug 29, 2014

Last updated

Aug 29, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jshauntae Marshall

Title

Owner

Phone

(312) 276-5155

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409270400000",
    "number": "1033519707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 N MICHIGAN AVE STE 1200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113959",
            "telephone_number": "312-276-5155",
            "fax_number": "702-910-3231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 N MICHIGAN AVE STE 1200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113959",
            "telephone_number": "312-276-5155",
            "fax_number": "702-910-3231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETERNITYS PATH LLC A COUNSELING AND FAMILY RESOURCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-29",
        "last_updated": "2014-08-29",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "JSHAUNTAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-276-5155"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.