MEDICARE: FAITH IS KEY COUNSELING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1669256947
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAITH IS KEY COUNSELING LLC

Provider Business Mailing Address
First Line	:	872 GREENBRIAR LN
Second Line	:
City	:	UNIVERSITY PARK
State	:	IL
Zip	:	60484-2807
Country	:	US
Telephone Number	:	708-998-6982
Fax Number	:

Provider Business Practice Location Address
First Line	:	19710 GOVERNORS HWY STE 5
Second Line	:
City	:	FLOSSMOOR
State	:	IL
Zip	:	60422-2081
Country	:	US
Telephone Number	:	708-980-8622
Fax Number	:

Authorized Official
Title or Position	:	OWNER/LICENSED CLINICAL SOCIAL WORK
Name	:	MONIQUE SIMMONS
Credential	:	LCSW
Telephone Number	:	708-980-8622

Provider Enumeration Date	:	08/21/2023
Last Update Date	:	01/02/2025

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Directions to “FAITH IS KEY COUNSELING LLC ” Practice Location

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