Ms Priscilla Tanishia Huley, LCPC | |
9445 Indianapolis Blvd # 1212, Highland, IN 46322-2648 | |
(708) 227-4080 | |
Not Available |
Full Name | Ms Priscilla Tanishia Huley |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 9445 Indianapolis Blvd # 1212, Highland, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184239386 | NPI | - | NPPES |
39004253A | Other | IN | MENTAL HEALTH COUNSELOR LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 39004253A (Indiana) | Secondary |
101YP2500X | Counselor - Professional | 180014220 (Illinois) | Primary |
Entity Name | Vitae Health Of Illinois Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174013452 PECOS PAC ID: 2365798410 Enrollment ID: O20180703002838 |
Mailing Address | Practice Location Address |
---|---|
Ms Priscilla Tanishia Huley, LCPC 1409 N Glenwood Ave Apt 0e, Griffith, IN 46319-1964 Ph: (708) 227-7098 | Ms Priscilla Tanishia Huley, LCPC 9445 Indianapolis Blvd # 1212, Highland, IN 46322-2648 Ph: (708) 227-4080 |
Tyhilya Kunisha Mccullum-johnson, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2844 Grand Blvd, Highland, IN 46322 Phone: 309-634-6118 | |
Ryan Kaszuba, BCBA Counselor Medicare: Not Enrolled in Medicare Practice Location: 9001 Indianapolis Blvd, Highland, IN 46322 Phone: 219-501-1729 | |
Mariyah Faith Martinez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2842 45th St, Highland, IN 46322 Phone: 219-228-8799 | |
Araceli Torres-mendoza, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2842 45th St Ste A, Highland, IN 46322 Phone: 219-228-8799 | |
Dawn Mcdonough, LMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2730 Ross St, Highland, IN 46322 Phone: 219-923-1387 | |
Nona Ann Mackey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2842 45th St, Highland, IN 46322 Phone: 219-228-8799 |