Provider Demographics
NPI:1467652941
Name:SMS CAREER COUNSELING & PSYCHOTHERAPY, P.C.
Entity Type:Organization
Organization Name:SMS CAREER COUNSELING & PSYCHOTHERAPY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / CLINICAL PRACTITIONER
Authorized Official - Prefix:MS
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:SULLIVAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:630-880-7700
Mailing Address - Street 1:8582 HIGHCREST DR
Mailing Address - Street 2:
Mailing Address - City:DARIEN
Mailing Address - State:IL
Mailing Address - Zip Code:60561-1678
Mailing Address - Country:US
Mailing Address - Phone:630-880-7700
Mailing Address - Fax:630-214-6004
Practice Address - Street 1:8582 HIGHCREST DR
Practice Address - Street 2:
Practice Address - City:DARIEN
Practice Address - State:IL
Practice Address - Zip Code:60561-1678
Practice Address - Country:US
Practice Address - Phone:630-880-7700
Practice Address - Fax:630-214-6004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-23
Last Update Date:2007-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1386752491OtherINDIVIDUAL PROVIDER NPI
IL02222971OtherBLUE CROSS AND BLUE SHIEL