Provider Demographics
NPI:1740450170
Name:S.M.A.R.T. LIVING LLC
Entity type:Organization
Organization Name:S.M.A.R.T. LIVING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIELA
Authorized Official - Middle Name:E
Authorized Official - Last Name:SCHREIER
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:312-804-0810
Mailing Address - Street 1:233 E WACKER DR
Mailing Address - Street 2:1607
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60601-5104
Mailing Address - Country:US
Mailing Address - Phone:312-804-0810
Mailing Address - Fax:312-650-5550
Practice Address - Street 1:233 E WACKER DR
Practice Address - Street 2:1607
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60601-5104
Practice Address - Country:US
Practice Address - Phone:312-804-0810
Practice Address - Fax:312-650-5550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-29
Last Update Date:2008-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLP 1686103TC0700X
KSLP1686103TF0200X
IL101YP2500X, 103TC0700X, 103TF0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensicGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty