Healthcare Provider Details

I. General information

NPI: 1205515541
Provider Name (Legal Business Name): SKY COUNSELING & CONSULTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2023
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

828 WESLEY AVE
OAK PARK IL
60304-1320
US

IV. Provider business mailing address

46036 MICHIGAN AVE # 310
CANTON MI
48188-2304
US

V. Phone/Fax

Practice location:
  • Phone: 734-336-0263
  • Fax:
Mailing address:
  • Phone: 734-336-0263
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. SHERYL KELLY BACKEBERG
Title or Position: OWNER & LICENSED PSYCHOLOGIST
Credential: PH.D., L.P.
Phone: 734-335-0263