Krista Tyner Therapy LLC
Clinic/Center (Adult Mental Health)

Address: 4132 N Lawndale Ave # 2, Chicago, IL 60618-2007
Phone: 3124450774

Krista Tyner Therapy LLC (NPI# 1508461898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1508461898
Entity Type Organization
Organization Name KRISTA TYNER THERAPY LLC
Practice Address 4132 N Lawndale Ave # 2
Chicago
IL 60618-2007
Practice Telephone 3124450774
Mailing Address 4132 N Lawndale Ave # 2
Chicago
IL 60618-2007
Mailing Telephone 3124450774
Authorized Official Name Krista Tyner (OWNER)
Authorized Official Telephone 3124450774
Authorized Official Credential LCPC
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-12-03
Last Update Date 2020-12-03

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 261QM0850X Clinic/Center · Adult Mental Health Ambulatory Health Care Facilities

Taxonomy Information

Taxonomy Code 261QM0850X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Notes: [7/1/2003: new]

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Office Location

Street Address 4132 N LAWNDALE AVE # 2
City CHICAGO
State IL
Zip Code 60618-2007

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134741622 Cvs Aoc Services, L.l.c. Optometrist 4051 North Lincoln, Store 8751, Chicago, IL 60618 2020-05-07
1699317404 Joseph Thank Harmon Registered Nurse 5645 W Addison, Chicago, IL 60618 2019-10-14
1760952626 Prep Performance Center, LLC Clinic/Center 4022 N Rockwell Street, Chicago, IL 60618 2018-12-04
1528540986 Ruby Erdmann Dietitian, Registered 3126 N Kimball Ave. #3w, Chicago, IL 60618 2018-09-02
1962997064 Living Roots Psychotherapy, LLC Clinic/Center 4310 N Spaulding Ave, Chicago, IL 60618 2018-06-30
1962920116 Alif Muhammad Counselor 3819 W Cornelia Ave #2, Chicago, IL 60618 2017-09-07
1417471178 Daniel Lee Mcmillan Counselor 3433 N. Ridgeway Ave, Apt G, Chicago, IL 60618 2017-08-03
1508380486 Callie Weinberg Social Worker 2945 N Damen Ave, 1s, Chicago, IL 60618 2017-08-01
1275062697 Melissa Ann Prest Dietitian, Registered 3258 W Warner Ave, Apt 2, Chicago, IL 60618 2017-06-08
1871951038 Bionic Prosthetics and Orthotics Group LLC Prosthetic/Orthotic Supplier 4315 N. Lincoln Avenue, Chicago, IL 60618 2016-02-03
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Competitor

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City CHICAGO
Zip Code 60618

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Dataset Information

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.