Provider Demographics
NPI:1831927680
Name:LIVING MY BEST LIFE, LLC
Entity type:Organization
Organization Name:LIVING MY BEST LIFE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSE CLINICAL PSYCHOLOGIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:VOLLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:708-837-8813
Mailing Address - Street 1:5729 S PARKSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60638-3714
Mailing Address - Country:US
Mailing Address - Phone:708-837-8813
Mailing Address - Fax:
Practice Address - Street 1:5729 S PARKSIDE AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60638-3714
Practice Address - Country:US
Practice Address - Phone:708-837-8813
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-23
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty