MAIYA SMITH
NPI 1245936111
Counselor - Mental Health in Chicago, IL
Active since February 02, 2023
About Maiya Smith NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAIYA SMITH (NPI 1245936111) is an individual mental health provider in Chicago, Illinois and active in the NPI registry since February 2023.
NPPES Registry Identity
NPI1245936111
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMAIYA SMITH
Location Address2755 N PINE GROVE AVEChicago, IL 60614-6109
Mailing Address8200 S La Salle StChicago, IL 60620-1224
Phone(312) 259-2665
Sole ProprietorNo
Enumeration DateFebruary 2, 2023
NPPES CertifiedFebruary 2, 2023
✔ NPI 1245936111 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2755 N PINE GROVE AVE, Chicago, IL 60614
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.
Social Worker (Clinical)
2755 N PINE GROVE AVE
CHICAGO, IL 60614
CHICAGO, IL 60614
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245936111, enumerated as an "individual" on February 02, 2023.
The provider is located at 2755 N PINE GROVE AVE CHICAGO, IL 60614 and the phone number is (312) 259-2665.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.