AMANDA SMITH
NPI 1174987200
Counselor - Mental Health in Forest Park, IL
Active since April 05, 2016
About Amanda Smith NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMANDA SMITH (NPI 1174987200) is an individual mental health provider in Forest Park, Illinois and active in the NPI registry since April 2016.
NPPES Registry Identity
NPI1174987200
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAMANDA SMITH
Location Address8311 ROOSEVELT RDForest Park, IL 60130-2529
Mailing Address8311 Roosevelt RdForest Park, IL 60130-2529
Phone(708) 209-2291
Sole ProprietorNo
Enumeration DateApril 5, 2016
✔ NPI 1174987200 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
8311 ROOSEVELT RD, Forest Park, IL 60130
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Psychologist (Clinical)
8311 ROOSEVELT RD, SUITE 100
FOREST PARK, IL 60130
FOREST PARK, IL 60130
Psychiatry & Neurology (Psychiatry)
8311 ROOSEVELT RD
FOREST PARK, IL 60130
FOREST PARK, IL 60130
Psychiatry & Neurology (Psychiatry)
8311 ROOSEVELT RD
FOREST PARK, IL 60130
FOREST PARK, IL 60130
Psychiatry & Neurology (Psychiatry)
8311 ROOSEVELT RD, OPTIONAL
FOREST PARK, IL 60130
FOREST PARK, IL 60130
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174987200, enumerated as an "individual" on April 05, 2016.
The provider is located at 8311 ROOSEVELT RD FOREST PARK, IL 60130 and the phone number is (708) 209-2291.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.