Blakely, India

Blakely, India is an sole proprietor health care provider with primary practice located at 17337 Wooded Path Dr Apt 3S , East Hazel Crest IL 60429-2619. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Blakely, India can be contacted via phone (708) 805-9380.

Contact Information

Primary practice address
17337 Wooded Path Dr Apt 3S East Hazel Crest IL 60429-2619
Phone: (708) 805-9380
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 180007413 Illinois

Profile Details

NPI number 1710594445
LBN Legal business name Blakely, India
Credentials LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 27th, 2020
Last updated Sep 27th, 2020 - about 6 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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