Healthcare Provider Details

I. General information

NPI: 1679394852
Provider Name (Legal Business Name): AANYA HEALTH SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/21/2024
Last Update Date: 10/21/2024
Certification Date: 10/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1552 S ROUTE 59 SUITE # 1283
NAPERVILLE IL
60564-5941
US

IV. Provider business mailing address

1552 S ROUTE 59 # 1283
NAPERVILLE IL
60564-5941
US

V. Phone/Fax

Practice location:
  • Phone: 630-296-5251
  • Fax:
Mailing address:
  • Phone: 630-296-5251
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: MISS LIPIKA JAIN
Title or Position: OWNER
Credential: PSYD
Phone: 630-296-5251