Healthcare Provider Details
I. General information
NPI: 1770407009
Provider Name (Legal Business Name): STEADY GROUND COUNSELING AND THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1924 N SAINT LOUIS AVE
CHICAGO IL
60647-3607
US
IV. Provider business mailing address
2501 CHATHAM RD
SPRINGFIELD IL
62704-4184
US
V. Phone/Fax
- Phone: 773-413-8115
- Fax:
- Phone: 509-768-2249
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SIERRA
WALLER
Title or Position: OWNER
Credential: MA, LCPC
Phone: 773-413-8115