Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. KENYATTA TANAE THOMAS
Active Sole ProprietorMS. KENYATTA TANAE THOMAS is a Case Management Agency healthcare provider located in SOUTH HOLLAND, Illinois. NPI 1861049553 is currently active in the NPPES registry. Verify at CMS.
Case Management Agency · SOUTH HOLLAND, IL
Registration Details
- NPI Number
- 1861049553
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 19, 2019 (6.9705505387463 yrs)
- Last Updated
- Oct 26, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
401 E. 162ND STSUITE 103SOUTH HOLLAND, IL, 60473Browse IL providers · Browse ZIP 60473
- Phone
- 7738195504
- Primary Specialty
-
Case Management Agency
251B00000X
- Additional Specialty
- Mental Health Counselor
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.