Healthcare Provider Details

I. General information

NPI: 1417645581
Provider Name (Legal Business Name): BAI & KAY PARTNERSHIP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2023
Last Update Date: 02/12/2025
Certification Date: 02/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14604 JOHN HUMPHREY DR STE 8
ORLAND PARK IL
60462-2642
US

IV. Provider business mailing address

12243 S 69TH AVE
PALOS HEIGHTS IL
60463-1623
US

V. Phone/Fax

Practice location:
  • Phone: 708-738-6712
  • Fax:
Mailing address:
  • Phone: 708-738-6712
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: KENYATTA WILLIAMS
Title or Position: MANAGING PARTNER/OWNER
Credential: MSW, QMHP
Phone: 424-527-1873