Braboy, Divine
Braboy, Divine is an individual health care provider with primary practice located at 3704 Briar Ln , Hazel Crest IL 60429-2414. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Braboy, Divine can be contacted via phone (773) 563-7670.Contact Information
Primary practice address
3704 Briar Ln
Hazel Crest IL 60429-2414
Phone: (773) 563-7670
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 178013828 | Illinois |
Profile Details
| NPI number | 1144997610 |
|---|---|
| LBN Legal business name | Braboy, Divine |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2021 |
| Last updated | Aug 24th, 2021 - about 5 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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