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 1386589034

Proviso-Leyden Council for Community Action Inc is an Addiction (Substance Use Disorder) Counselor in Maywood, Illinois. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
3
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

308 S 5th Ave
Maywood, IL 60153-1650
Phone: (708) 343-1275
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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

Record details

NPI number1386589034
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Claudette Harrell — Ceo · (708) 450-3500
NPI enumeratedApril 21, 2026
Last updated in NPPESApril 21, 2026
Certification dateApril 20, 2026
Mailing address411 Madison St, Maywood, IL 60153-2136

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