Brent, Tayah
Brent, Tayah is an individual health care provider with primary practice located at 20372 Bluestem Pkwy , Lynwood IL 60411-8556. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Brent, Tayah can be contacted via phone (708) 926-5228.Contact Information
Primary practice address
20372 Bluestem Pkwy
Lynwood IL 60411-8556
Phone: (708) 926-5228
Fax: (708) 757-6599
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 178.019888 | Illinois |
Profile Details
| NPI number | 1407615081 |
|---|---|
| LBN Legal business name | Brent, Tayah |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 18th, 2024 |
| Last updated | Mar 18th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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