Organization
GENERATION MEND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIEMONE SMITH PHD, LCPC (OWNER)
(773) 220-6232
Entity
Organization
Contact information
Practice address
3310 W COLUMBUS AVE, CHICAGO, IL 60652-2536
(773) 220-6232
Mailing address
5933 S LAFAYETTE AVE APT 1, CHICAGO, IL 60621-3918
(773) 220-6232
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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