Healthcare Provider Details

I. General information

NPI: 1659289452
Provider Name (Legal Business Name): JANAYA CREVIER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

122 S MICHIGAN AVE STE 1432
CHICAGO IL
60603-6170
US

IV. Provider business mailing address

122 S MICHIGAN AVE STE 1441
CHICAGO IL
60603-6173
US

V. Phone/Fax

Practice location:
  • Phone: 773-739-8019
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: