Healthcare Provider Details

I. General information

NPI: 1225861974
Provider Name (Legal Business Name): SHINING LIGHT COUNSELING CENTERS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2024
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

611 E STATE ST STE 108
GENEVA IL
60134-2300
US

IV. Provider business mailing address

1244 E. STATE STREET STE A
GENEVA IL
60134
US

V. Phone/Fax

Practice location:
  • Phone: 708-232-8868
  • Fax:
Mailing address:
  • Phone: 708-232-8868
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name: MEGHAN HAMILTON
Title or Position: OWNER/THERAPIST
Credential: LCSW
Phone: 708-232-8868