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

Supportive Interventions LLC

Organization Professional Counselor · NPI 1104675404

Supportive Interventions LLC is a Professional Counselor in Evergreen Park, Illinois. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9730 S Western Ave
Evergreen Park, IL 60805-2814
Phone: (708) 696-4874
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X

Record details

NPI number1104675404
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brinyel Perkins — Licensed Clinical Professional Coun · (708) 696-4874
NPI enumeratedMay 17, 2024
Last updated in NPPESOctober 21, 2025
Certification dateOctober 21, 2025
Mailing address21720 W Long Grove Rd Ste C, Deer Park, IL 60010-3752

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