White, Takenya

White, Takenya is an individual health care provider with primary practice located at 13136 Western Ave , Blue Island IL 60406-2423. 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 / Mental Retardation & Developmental Disabilities. Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities is her primary health care specialty. White, Takenya can be contacted via phone (708) 858-8946.

Contact Information

Primary practice address
13136 Western Ave Blue Island IL 60406-2423
Phone: (708) 858-8946
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist 221700000X
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X

Profile Details

NPI number 1770119935
LBN Legal business name White, Takenya
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2020
Last updated Jul 27th, 2023 - 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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