T.H.a.T Life

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

T.H.A.T LIFE

Practice address

2314 Illinois Route 59 #111
Plainfield, IL 60586

Phone

(815) 556-9430

NPI assigned

Dec 29, 2022

Organization subpart

No

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

Authorized official

Name

Hiram White

Title

Co-Chair

Phone

(815) 556-9430

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1672272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672272000000",
    "number": "1730892258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2314 ILLINOIS ROUTE 59 #111",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "60586",
            "telephone_number": "815-556-9430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2314 ILLINOIS ROUTE 59 #111",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "60586",
            "telephone_number": "815-556-9430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T.H.A.T LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-29",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-27",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "HIRAM",
        "authorized_official_title_or_position": "CO-CHAIR",
        "authorized_official_telephone_number": "815-556-9430"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Plainfield, IL
• Providers in Plainfield, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; 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.