Shemiah R Derrick Inc.

NPI #1003412909 in Chicago, Illinois

Provider Information

NPI Number: 1003412909
Entity Type: Organization
Organization Name: Shemiah R Derrick Inc.
Primary Specialty: Clinic/Center - Adult Mental Health
Enumeration Date: Dec 7, 2020
Last Updated: Dec 7, 2020

Practice Location

Address: 6127 S UNIVERSITY AVE STE 109
City: Chicago
State: Illinois
ZIP Code: 60637-5894
Phone: (773) 424-2007

Authorized Official

Name: MRS. SHEMIAH R. DERRICK, LPC, CADC
Title: PRESIDENT & OWNER
Phone: (773) 424-2007

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X	Primary

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