Braintique LLC
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Canton, IL
NPI 1497587257 · NPPES record last updated Aug 19, 2024
Key facts
- NPI
- 1497587257
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- BRAINTIQUE LLC
- Practice address
- 8 S Main St Ste 201
Canton, IL 61520-2680 - Phone
- (309) 648-9216
- NPI assigned
- Aug 19, 2024
- Organization subpart
- No
Authorized official
- Name
- Ms. Layne Denise Stambaugh, PMHNP-BC
- Title
- Owner
- Phone
- (309) 648-9216
Practitioners 1
-
Layne Stambaugh, PMHNP
National Provider Directory
Locations
8 S Main St
Ste 201
Canton, IL 61520
Phone (309) 648-9216
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes |
Addresses
Primary practice location
8 S Main St Ste 201
Canton, IL 61520-2680
Mailing address
8 S Main St Ste 201
Canton, IL 61520-2680
Phone (309) 648-9216
Other names
- Braintique
Other providers in Canton, IL
- Michael Reuss Blessman
- Matthew Bloom
- Robert C Bobell
- Bond Eye Associates, S.C.
- Joshua Bowers
- Andrew R Bryant
- Erin Kathleen Buckley
- William R Buckley
- Matthew Stephen Buczko
- Jessica Lynn Bugos
All providers in Canton, IL · Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.