The Office of Adele M. Bryant, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

180000741 Issued in IL

Legal business name

THE OFFICE OF ADELE M. BRYANT, LLC

Practice address

17127 Oak Park Ave
Tinley Park, IL 60477-3405

Phone

(815) 530-4589

NPI assigned

Sep 4, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Adele M. Bryant, LCPCNPI 1720222581

Title

Sole Proprietor

Phone

(815) 726-2546

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adele M Bryant, L.C.P.C.

  • Professional Counselor
  • Tinley Park, IL
  • NPI 1720222581
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1252022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252022400000",
    "number": "1619100831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 N REED ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17127 OAK PARK AVE",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604773405",
            "telephone_number": "815-530-4589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE OFFICE OF ADELE M. BRYANT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-04",
        "last_updated": "2009-09-04",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "ADELE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "815-726-2546",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IL",
            "license": "180000741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Mae Transportation Inc.
• TC Medical Services
• Fatima Thalji, PHARMD
• The McAllister Nursing Home Inc.
• The Mending Room Counseling Center for Wellness
• The Senior's Club LTD.
• Edward Thelen
• Theory Physical Therapy, LLC
• Therapy Providers of Tinley Park LTD.
• Robert Michael Thies, D.D.S.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Tinley Park, IL
• Providers in Tinley Park, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.