Tye, Caroline Kelly
Tye, Caroline Kelly is an sole proprietor health care provider with primary practice located at 2630 W Fletcher St , Chicago IL 60618-7110. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Tye, Caroline Kelly can be contacted via phone (847) 651-8643.Contact Information
Primary practice address
2630 W Fletcher St
Chicago IL 60618-7110
Phone: (847) 651-8643
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist | 221700000X | 16-069 | Illinois |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 178012176 | Illinois |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 180011239 | Illinois |
Profile Details
NPI number | 1245787506 |
---|---|
LBN Legal business name | Tye, Caroline Kelly |
Credentials | LCPC, ATR-BC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 4th, 2016 |
Last updated | Nov 28th, 2017 - about 7 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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