Provider Demographics
NPI:1104518109
Name:SMB COUNSELING LLC
Entity type:Organization
Organization Name:SMB COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LCPC
Authorized Official - Prefix:
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:
Authorized Official - Last Name:BLANCHFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-212-7243
Mailing Address - Street 1:3858 LA FONTAINE LN
Mailing Address - Street 2:
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60025-1237
Mailing Address - Country:US
Mailing Address - Phone:708-212-7243
Mailing Address - Fax:
Practice Address - Street 1:3858 LA FONTAINE LN
Practice Address - Street 2:
Practice Address - City:GLENVIEW
Practice Address - State:IL
Practice Address - Zip Code:60025-1237
Practice Address - Country:US
Practice Address - Phone:708-212-7243
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-26
Last Update Date:2023-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty