Pruitt, Nayesha Adia
Pruitt, Nayesha Adia is an sole proprietor health care provider with primary practice located at 2659 W Division St , Chicago IL 60622-2851. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / School is her primary health care specialty. Pruitt, Nayesha Adia can be contacted via phone (312) 859-3675.Contact Information
Primary practice address
2659 W Division St
Chicago IL 60622-2851
Phone: (312) 859-3675
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 178.016203 | Illinois |
Behavioral Health & Social Service Providers / School | 101YS0200X | 2355616 | Illinois |
Profile Details
NPI number | 1508517608 |
---|---|
LBN Legal business name | Pruitt, Nayesha Adia |
Credentials | Licensed Professional Counselor (LPC) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 11th, 2022 |
Last updated | Jan 11th, 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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