Provider Demographics
NPI:1487241857
Name:TAKING CARE OF BUSINESS COUNSELING & COACHING SERVICES PLLC
Entity type:Organization
Organization Name:TAKING CARE OF BUSINESS COUNSELING & COACHING SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGY
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:BOYD
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:702-271-1985
Mailing Address - Street 1:4312 W CERMAK RD
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60623-2901
Mailing Address - Country:US
Mailing Address - Phone:702-271-1985
Mailing Address - Fax:
Practice Address - Street 1:2105 W 18TH ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60608-1805
Practice Address - Country:US
Practice Address - Phone:773-522-1592
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-30
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty