Provider Demographics
NPI:1053028225
Name:RELABELED A SELF-HELP FIRM LLC
Entity type:Organization
Organization Name:RELABELED A SELF-HELP FIRM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHEIKA
Authorized Official - Middle Name:R
Authorized Official - Last Name:COX-BEY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:773-257-3003
Mailing Address - Street 1:7818 S CHAMPLAIN AVE STE B
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60619-3006
Mailing Address - Country:US
Mailing Address - Phone:773-257-3003
Mailing Address - Fax:
Practice Address - Street 1:7818 S CHAMPLAIN AVE STE B
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60619-3006
Practice Address - Country:US
Practice Address - Phone:773-257-3003
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-27
Last Update Date:2022-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchoolGroup - Multi-Specialty