Healthcare Provider Details

I. General information

NPI: 1851257091
Provider Name (Legal Business Name): FAITHFULLY ALIGNING YOU COUNSELING AND WELLNESS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/31/2025
Last Update Date: 12/31/2025
Certification Date: 12/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

159 NORTH SANGAMON STREET SUITE 200-#3425
CHICAGO IL
60607
US

IV. Provider business mailing address

159 NORTH SANGAMON STREET SUITE 200-#3425
CHICAGO IL
60607
US

V. Phone/Fax

Practice location:
  • Phone: 312-919-1842
  • Fax:
Mailing address:
  • Phone: 312-919-1842
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. JENNIFER FAY SMITH
Title or Position: OWNER, LICENSED COUNSELOR
Credential: PHD, LCPC
Phone: 312-919-1842