Organization
NORTHSIDE CENTER FOR RELATIONSHIP COUNSELING
Active
Parent organization
NORTHSIDE CENTER FOR RELATIONSHIP COUNSELING
Other names
CCRC Behavioral Health Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHSIDE CENTER FOR RELATIONSHIP COUNSELING
Authorized official
JOSHUA SMITH HETHERINGTON LMFT, LCPC (CEO)
(773) 791-0469
Entity
Organization
Contact information
Practice address
5100 N RAVENSWOOD AVE STE 208, CHICAGO, IL 60640-1710
(773) 791-0469
Mailing address
5100 N RAVENSWOOD AVE STE 208, CHICAGO, IL 60640-1710
(773) 791-0469
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
03/17/2025
Last updated
05/21/2025
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