Thomas, Kenyatta Tanae

Thomas, Kenyatta Tanae is an sole proprietor health care provider with primary practice located at 401 E. 162Nd St Suite 103, South Holland IL 60473. She recently has 2 registered licenses in different health care specialties including Agencies / Case Management, Behavioral Health & Social Service Providers / Mental Health. Agencies / Case Management is her primary health care specialty. Thomas, Kenyatta Tanae can be contacted via phone (773) 819-5504.

Contact Information

Primary practice address
401 E. 162Nd St Suite 103 South Holland IL 60473
Phone: (773) 819-5504
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X Kentucky
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Illinois

Profile Details

NPI number 1861049553
LBN Legal business name Thomas, Kenyatta Tanae
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 19th, 2019
Last updated Oct 26th, 2021 - about 3 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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