Provider Demographics
NPI:1174258313
Name:CHAMBERS COUNSELING AND CONSULTING LLC
Entity Type:Organization
Organization Name:CHAMBERS COUNSELING AND CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIAJA
Authorized Official - Middle Name:SHAVON
Authorized Official - Last Name:DAVIS-CHAMBERS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:773-841-6369
Mailing Address - Street 1:606 OAKLAND AVE APT 211
Mailing Address - Street 2:
Mailing Address - City:URBANA
Mailing Address - State:IL
Mailing Address - Zip Code:61802-2062
Mailing Address - Country:US
Mailing Address - Phone:773-841-6369
Mailing Address - Fax:
Practice Address - Street 1:606 OAKLAND AVE APT 211
Practice Address - Street 2:
Practice Address - City:URBANA
Practice Address - State:IL
Practice Address - Zip Code:61802-2062
Practice Address - Country:US
Practice Address - Phone:773-841-6369
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-21
Last Update Date:2022-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty