Healthcare Provider Details

I. General information

NPI: 1255115580
Provider Name (Legal Business Name): EXHALE THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2023
Last Update Date: 08/18/2023
Certification Date: 08/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17245 WILLIAM ST
LANSING IL
60438-1382
US

IV. Provider business mailing address

18125 ROY ST UNIT 607
LANSING IL
60438-6654
US

V. Phone/Fax

Practice location:
  • Phone: 312-593-1879
  • Fax:
Mailing address:
  • Phone: 312-593-1879
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: DR. ALTHIA GAYLE
Title or Position: OWNER/THERAPIST
Credential: LCSW
Phone: 312-593-1879