NPI Code Details Logo

NPI 1053028225

NPI 1053028225 : RELABELED A SELF-HELP FIRM LLC : CHICAGO, IL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1053028225
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    RELABELED A SELF-HELP FIRM LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/27/2022
-----------------------------------------------------
    Last Update Date     |    11/05/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1518 W THOME AVE FL 2 
-----------------------------------------------------
    City                 |    CHICAGO
-----------------------------------------------------
    State                |    IL
-----------------------------------------------------
    Zip                  |    60660-1824
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    773-257-3003
-----------------------------------------------------
    Fax                  |    762-222-2071
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    601 N BELAIR SQ STE 9 
-----------------------------------------------------
    City                 |    EVANS
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    30809-4322
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    706-250-2239
-----------------------------------------------------
    Fax                  |    762-222-2071
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |    MRS. SHEIKA R COX-BEY 
-----------------------------------------------------
    Credential           |    LCSW
-----------------------------------------------------
    Telephone            |    773-257-3003
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    101YM0800X
-----------------------------------------------------
    Taxonomy Name        |    Mental Health Counselor
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    390200000X
-----------------------------------------------------
    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    1041S0200X
-----------------------------------------------------
    Taxonomy Name        |    School Social Worker
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    1041C0700X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Social Worker
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.