SHARONDA GILES


Address: 3900 S California Ave, Chicago, IL 60632-1808
Phone: 7085298576

SHARONDA GILES (NPI# 1225563943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225563943
Entity Type Individual
Full Name SHARONDA GILES
Credential LCPC
Practice Address 3900 S California Ave
Chicago
IL 60632-1808
Mailing Address 5008 S Marshfield Ave
Chicago
IL 60609-4828
Practice Telephone 7085298576
Mailing Telephone 7739312431
Enumeration Date 2017-05-01
Last Update Date 2020-09-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers
N 101YP2500X Counselor
Specialization: Professional
Behavioral Health & Social Service Providers

Office Location

Street Address 3900 S CALIFORNIA AVE
City CHICAGO
State IL
Zip Code 60632-1808

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407275043 Sga Youth & Family Services Community/Behavioral Health 3900 S California Ave, Chicago, IL 60632-1808 2014-04-10

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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1508463704 Tynisha Jointer Counselor 7710 S Saint Lawrence Ave, Chicago, IL 60619-2925 2020-10-01
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Competitor

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City CHICAGO
Zip Code 60632

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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