MEDICARE: SMALL STEPS TO HEAL PLLC

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	101Y00000X	Counselor

General Provider Information

NPI Number	:	1730936832
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SMALL STEPS TO HEAL PLLC

Provider Business Mailing Address
First Line	:	530 MAPLE DR
Second Line	:
City	:	STREAMWOOD
State	:	IL
Zip	:	60107-3163
Country	:	US
Telephone Number	:	847-274-5982
Fax Number	:

Provider Business Practice Location Address
First Line	:	530 MAPLE DR
Second Line	:
City	:	STREAMWOOD
State	:	IL
Zip	:	60107-3163
Country	:	US
Telephone Number	:	847-274-5982
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LOGAN DANIELLE CHAMBERS
Credential	:
Telephone Number	:	847-274-5982

Provider Enumeration Date	:	05/06/2024
Last Update Date	:	05/21/2024

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Directions to “SMALL STEPS TO HEAL PLLC ” Practice Location

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