Healthcare Provider Details

I. General information

NPI: 1629982798
Provider Name (Legal Business Name): SUNLIGHT COUNSELING SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1839 RIDGE RD APT 13
CHATHAM IL
62629-2604
US

IV. Provider business mailing address

1839 RIDGE RD APT 13
CHATHAM IL
62629-2604
US

V. Phone/Fax

Practice location:
  • Phone: 508-812-8847
  • Fax:
Mailing address:
  • Phone: 508-812-8847
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: EMILY R WALKER
Title or Position: MANAGER
Credential: MA, NCC, LCPC
Phone: 217-972-7241