MISS RITAMARIA SHULAMITH LAIRD
NPI 1164742292
Counselor - Mental Health in Oak Lawn, IL
Active since June 11, 2010
About Miss Ritamaria Shulamith Laird NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISS RITAMARIA SHULAMITH LAIRD (NPI 1164742292) is an individual mental health provider in Oak Lawn, Illinois, licensed in Illinois (178.007839) and active in the NPI registry since June 2010.
NPPES Registry Identity
NPI1164742292
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMISS RITAMARIA SHULAMITH LAIRD
Location Address10735 S CICERO AVE, 208Oak Lawn, IL 60453-5400
Mailing Address10735 S Cicero Ave, 208Oak Lawn, IL 60453-5400 · (708) 576-4027 · Fax (708) 424-1394
Phone(708) 424-1394
Sole ProprietorNo
Enumeration DateJune 11, 2010
Last NPPES UpdateNovember 2, 2012
✔ NPI 1164742292 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IL · 178.007839
10735 S CICERO AVE, Oak Lawn, IL 60453
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Professional)
10735 S CICERO AVE, SUITE 208
OAK LAWN, IL 60453
OAK LAWN, IL 60453
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164742292, enumerated as an "individual" on June 11, 2010.
The provider is located at 10735 S CICERO AVE 208 OAK LAWN, IL 60453 and the phone number is (708) 424-1394.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.