Provider Demographics
NPI:1396126090
Name:LOVE, SHARDAY LELA (LPC)
Entity type:Individual
Prefix:
First Name:SHARDAY
Middle Name:LELA
Last Name:LOVE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:750 N DEARBORN ST
Mailing Address - Street 2:APT 1402
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60654-3854
Mailing Address - Country:US
Mailing Address - Phone:773-501-9492
Mailing Address - Fax:312-782-8276
Practice Address - Street 1:180 N MICHIGAN AVE
Practice Address - Street 2:SUITE 410
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60601-7401
Practice Address - Country:US
Practice Address - Phone:773-501-9492
Practice Address - Fax:312-782-8276
Is Sole Proprietor?:No
Enumeration Date:2015-06-18
Last Update Date:2015-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.010932101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional