TMH Wellness Redefined LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

TMH WELLNESS REDEFINED LLC

Practice address

710 E 47TH St Ste 203W
Chicago, IL 60653-0120

Phone

(773) 803-1979

NPI assigned

Jan 30, 2019

Organization subpart

No

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

Authorized official

Name

Tytannie Harris, LCSW

Title

Ceo

Phone

(773) 803-1979

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1548806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548806400000",
    "number": "1760946016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 E 47TH ST STE 203W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606530120",
            "telephone_number": "773-803-1979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 E 47TH ST STE 203W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606530120",
            "telephone_number": "773-803-1979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TMH WELLNESS REDEFINED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-30",
        "last_updated": "2019-01-30",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "TYTANNIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-803-1979",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; 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.