Provider Demographics
NPI:1639352727
Name:SUNSHINE COUNSELING SERVICES
Entity Type:Organization
Organization Name:SUNSHINE COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALDO
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:773-784-6378
Mailing Address - Street 1:915 W CARMEN AVE
Mailing Address - Street 2:#307
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60640-3261
Mailing Address - Country:US
Mailing Address - Phone:773-784-6378
Mailing Address - Fax:
Practice Address - Street 1:915 W CARMEN AVE
Practice Address - Street 2:#307
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60640-3261
Practice Address - Country:US
Practice Address - Phone:773-784-6378
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-11
Last Update Date:2009-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.012666311ZA0620X, 314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility