HEALTHY SOUL TALK LLC (NPI# 1326545773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326545773 |
Entity Type | Organization |
Organization Name | HEALTHY SOUL TALK LLC |
Practice Address |
1701 S 1st Ave Ste 307 Maywood IL 60153-2419 |
Mailing Address |
7729 S Spaulding Ave Chicago IL 60652-1920 |
Practice Telephone | 7084838455 |
Practice Fax Number | 7087764717 |
Mailing Telephone | 3127142381 |
Enumeration Date | 2018-04-11 |
Last Update Date | 2018-04-11 |
Authorized Official Name | DR. KIMBERLY THOMAS (PRINCIPLE OWNER) |
Authorized Official Telephone | 7084838455 |
Authorized Official Credential | LCPC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | HEALTHY SOUL TALK LLC | 1701 S 1st Ave Ste 307, Maywood, IL 60153-2419 |
Street Address |
1701 S 1ST AVE STE 307 |
City | MAYWOOD |
State | IL |
Zip Code | 60153-2419 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851701825 | Kimberly Thomas | Counselor | 1701 S 1st Ave Ste 307, Maywood, IL 60153-2419 | 2014-04-30 |
1922587880 | Michael Silas | Counselor | 1701 S 1st Ave Ste 307, Maywood, IL 60153-2419 | 2018-08-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053933077 | Judie Noemie Hoilat | Internal Medicine | 2160 S 1st Avenue, Maywood, IL 60153 | 2020-05-13 |
1457972457 | Yuchen Zheng | Student in an Organized Health Care Education/Training Program | Department of Neurology, Loyola University Medical Cent, 2160 S. First Ave, Maywood, IL 60153 | 2020-04-30 |
1437779519 | Amna Amad Siddiqui | Student in an Organized Health Care Education/Training Program | 2160 S. First Avenue, Loyola University Medical Center, Maywood, IL 60153 | 2020-04-20 |
1982232211 | Brian Kurtz | Student in an Organized Health Care Education/Training Program | 2160 S First Ave, Bulding 105-suite 2840a, Maywood, IL 60153 | 2020-03-31 |
1902434947 | Saadiya Jabbar | Psychiatry & Neurology | Loyola University Medical Center, Building 105, Suite 1940, Maywood, IL 60153 | 2020-03-27 |
1558919472 | Linda Sue Moton | Technician | 10 South 15 Apt. 1, Maywood, IL 60153 | 2019-09-04 |
1760047518 | Braden Robert Dasovic | Student in an Organized Health Care Education/Training Program | 2160 S. First Avenue Building 105/room 2700, Department, Loyola Medical Center, Maywood, IL 60153 | 2019-05-07 |
1134680713 | Madeline Shaoyun Tiee | Orthopaedic Surgery | Loyola University Medical Center, 2160 S 1st Ave, Maywood, IL 60153 | 2019-03-27 |
1538629746 | Michael Murphy | Orthopaedic Surgery | 2160 S 1st Ave., Maguire Center, Dept of Ortho Surg, Maywood, IL 60153 | 2019-03-22 |
1053871681 | Michael V Padua | Psychiatry & Neurology | 2160 S 1st Ave Bldg, Maywood, IL 60153 | 2019-03-20 |
Find all providers in zip 60153 |
Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225285596 | Presence Behavioral Health | Clinic/Center | 117 S 6th Ave, Maywood, IL 60153-1377 | 2008-08-19 |
1629224662 | Presence Behavioral Health | Clinic/Center | 611 N 2nd Ave, Maywood, IL 60153-1111 | 2008-08-11 |
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1881291789 | Jessica Weisbach, LLC | Clinic/Center | 2257 N Kedzie Blvd Apt 3, Chicago, IL 60647-2561 | 2020-10-04 |
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1194322370 | Envision Unlimited | Clinic/Center | 4911 S Hoyne Ave, Chicago, IL 60609-4721 | 2020-10-01 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.