Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Proviso-Leyden Council for Community Action Inc

Organization Addiction (Substance Use Disorder) Counselor · NPI 1134553076

Proviso-Leyden Council for Community Action Inc is an Addiction (Substance Use Disorder) Counselor in Maywood, Illinois. Registered with an NPI since 2013.

In the registry since
2013
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

411 Madison St
Maywood, IL 60153-2136
Phone: (708) 236-5042
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Methadone Clinic (primary) Taxonomy 261QM2800X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Substance Use Disorder Rehabilitation Clinic/Center Taxonomy 261QR0405X
Substance Use Disorder Rehabilitation Hospital Unit Taxonomy 276400000X

Record details

NPI number1134553076
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Beverly Smith — Coo · (708) 236-5170
Other names Plcca; Plcca
NPI enumeratedAugust 28, 2013
Last updated in NPPESApril 17, 2026
Certification dateApril 17, 2026
Mailing address411 Madison St, Maywood, IL 60153-2136

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