Smith, Ricky Brian

Smith, Ricky Brian is an sole proprietor health care provider with primary practice located at 1000 Lake St Apt 607 , Oak Park IL 60301-1498. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Smith, Ricky Brian can be contacted via phone (312) 620-8080.

Contact Information

Primary practice address
1000 Lake St Apt 607 Oak Park IL 60301-1498
Phone: (312) 620-8080
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 208.000749 Illinois
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 166001501 Illinois

Profile Details

NPI number 1437790540
LBN Legal business name Smith, Ricky Brian
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 1st, 2019
Last updated Oct 4th, 2021 - about 3 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1437790540 NPPES
Illinois Other 208.000749 ILLINOIS AMFT LICENSE

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