Healthcare Provider Details
I. General information
NPI: 1013825595
Provider Name (Legal Business Name): BUILD YOUR CALM PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3317 FOUNTAINBLEAU DR
HAZEL CREST IL
60429-2248
US
IV. Provider business mailing address
3317 FOUNTAINBLEAU DR
HAZEL CREST IL
60429-2248
US
V. Phone/Fax
- Phone: 312-324-4697
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
TIERRA
JANAE
DANIELS
Title or Position: FOUNDER, CLINICAL DIRECTOR
Credential: LCPC
Phone: 312-324-4697