Holloway, Tiffany Monique
Holloway, Tiffany Monique is an sole proprietor health care provider with primary practice located at 8303 S Saint Lawrence Ave , Chicago IL 60619-5708. She recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Holloway, Tiffany Monique can be contacted via phone (773) 559-6161.Contact Information
Primary practice address
8303 S Saint Lawrence Ave
Chicago IL 60619-5708
Phone: (773) 559-6161
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
Behavioral Health & Social Service Providers / School | 101YS0200X | ||
Behavioral Health & Social Service Providers / Social Worker | 104100000X | ||
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | ||
Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | ||
Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
NPI number | 1255086476 |
---|---|
LBN Legal business name | Holloway, Tiffany Monique |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 16th, 2022 |
Last updated | Feb 16th, 2022 - about 2 years ago |
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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