Smith, Gina

Smith, Gina is an individual health care provider with primary practice located at 9405 Bormet Dr Ste 6 , Mokena IL 60448-7400. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Smith, Gina can be contacted via phone (708) 290-9020.

Contact Information

Primary practice address
9405 Bormet Dr Ste 6 Mokena IL 60448-7400
Phone: (708) 290-9020
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1740701036
LBN Legal business name Smith, Gina
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2017
Last updated Apr 5th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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