# NORTHSIDE CENTER FOR RELATIONSHIP COUNSELING

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720341993
- **Authorized official:** MR. JOSH SMITH HETHERINGTON LMFT, LCPC (DIRECTOR)
- **Authorized official phone:** (773) 791-0469

## Contact information

- **Practice address:** 1770 W BERTEAU AVE, SUITE 302A, CHICAGO, IL 60613-1849
- **Practice address phone:** (773) 791-0469
- **Mailing address:** 1770 W BERTEAU AVE, SUITE 302A, CHICAGO, IL 60613-1849
- **Mailing address phone:** (773) 791-0469

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 180.003937 | IL | — |
| 106H00000X | Marriage & Family Therapist | 166.000557 | IL | Yes |

## Other

- **Enumeration date:** 06/21/2012
- **Last updated:** 06/21/2012