TOTAL LIFE WELLNESS PLLC
NPI 1982325874
Counselor - Professional in Waterloo, IL

Active since September 08, 2022
823 SHERIDAN LN, WATERLOO, IL 62298(618) 616-4535 Get Directions Write a Review

NPPES record last updated: September 8, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Total Life Wellness Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TOTAL LIFE WELLNESS PLLC (NPI 1982325874) is a healthcare organization registered as a professional in Waterloo, Illinois and active in the NPI registry since September 2022. The organization lists Kara Bordeaux, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1982325874
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameTOTAL LIFE WELLNESS PLLC
Location Address823 SHERIDAN LNWaterloo, IL 62298-3366
Mailing Address823 Sheridan LnWaterloo, IL 62298-3366 · (618) 616-4535
Organization SubpartNo
Authorized OfficialKara BordeauxExecutive Director · (618) 616-4535
Enumeration DateSeptember 8, 2022
NPPES CertifiedSeptember 8, 2022
NPI 1982325874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
823 SHERIDAN LN, Waterloo, IL 62298

Other Names 1

Doing Business AsTotal Life Wellness Pllc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor
823 SHERIDAN LN
WATERLOO, IL 62298

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Total Life Wellness PLLC's NPI number?

The NPI number for Total Life Wellness PLLC is 1982325874. It was assigned to this organization in the NPPES registry on September 8, 2022.

Where is Total Life Wellness PLLC located?

Total Life Wellness PLLC is located at 823 Sheridan Ln, Waterloo, IL 62298. The listed phone number is (618) 616-4535.

What is Total Life Wellness PLLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Total Life Wellness PLLC was last updated on September 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.