Organization
EMPOWERING BEAHVIORAL HEALTH AND CONSULTING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMYNIQUE JAZMEN SMITH LCSW (CEO)
(773) 457-1990
Entity
Organization
Contact information
Practice address
935 175TH ST FL 3, HOMEWOOD, IL 60430-2073
(773) 457-1990
Mailing address
935 175TH ST FL 3, HOMEWOOD, IL 60430-2073
(773) 457-1990
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
251B00000X
Case Management Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
07/20/2026
Last updated
07/20/2026
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