MISS SHANTRELL PATRICE SUTTON


Address: 5042 W Erie St, Chicago, IL 60644-1604
Phone: 7732082666

MISS SHANTRELL PATRICE SUTTON (NPI# 1609477579) 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) 1609477579
Entity Type Individual
Full Name MISS SHANTRELL PATRICE SUTTON
Credential LPC, NCC
Practice Address 5042 W Erie St
Chicago
IL 60644-1604
Practice Telephone 7732082666
Mailing Telephone 7732082666
Enumeration Date 2020-11-05
Last Update Date 2020-11-05
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
178016427 IL Behavioral Health & Social Service Providers

Office Location

Street Address 5042 W ERIE ST
City CHICAGO
State IL
Zip Code 60644-1604

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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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Competitor

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City CHICAGO
Zip Code 60644

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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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