Provider Demographics
NPI:1942445564
Name:SMC BEHAVIORAL COUNSELING LLC
Entity Type:Organization
Organization Name:SMC BEHAVIORAL COUNSELING LLC
Other - Org Name:SMC BEHAVIORAL LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER/COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:M
Authorized Official - Last Name:CHUNIS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:860-833-7473
Mailing Address - Street 1:40 DEERFIELD RUN
Mailing Address - Street 2:
Mailing Address - City:ROCKY HILL
Mailing Address - State:CT
Mailing Address - Zip Code:06067-2317
Mailing Address - Country:US
Mailing Address - Phone:860-833-7473
Mailing Address - Fax:860-499-5312
Practice Address - Street 1:40 DEERFIELD RUN
Practice Address - Street 2:
Practice Address - City:ROCKY HILL
Practice Address - State:CT
Practice Address - Zip Code:06067-2317
Practice Address - Country:US
Practice Address - Phone:860-833-7473
Practice Address - Fax:860-499-5312
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-10
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001139101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty