Healthcare Provider Details

I. General information

NPI: 1053021121
Provider Name (Legal Business Name): HAPPYIAN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2022
Last Update Date: 03/01/2023
Certification Date: 03/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10512 RIDGE COVE DRIVE 22C
CHICAGO RIDGE IL
60415-1486
US

IV. Provider business mailing address

10512 RIDGE COVE DRIVE 22C
CHICAGO RIDGE IL
60415-1486
US

V. Phone/Fax

Practice location:
  • Phone: 773-553-0900
  • Fax: 833-409-2227
Mailing address:
  • Phone: 773-553-0900
  • Fax: 833-409-2227

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MONIKA ALINA PRZYSIEZNA
Title or Position: CLINICAL DIRECTOR
Credential:
Phone: 708-949-1967