Healthcare Provider Details

I. General information

NPI: 1437015252
Provider Name (Legal Business Name): MY THERAPY HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/26/2025
Last Update Date: 12/26/2025
Certification Date: 12/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7601 S KOSTNER AVE STE 400 400
CHICAGO IL
60652-1120
US

IV. Provider business mailing address

7601 S KOSTNER AVE STE 400
CHICAGO IL
60652-1120
US

V. Phone/Fax

Practice location:
  • Phone: 217-284-2604
  • Fax: 217-439-3547
Mailing address:
  • Phone: 217-284-2604
  • Fax: 217-439-3547

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. JOETTA LITTLE
Title or Position: CEO
Credential: PMHNP-BC, DNP
Phone: 217-552-0660