Healthcare Provider Details

I. General information

NPI: 1619893757
Provider Name (Legal Business Name): TELETEACHERS, INC. (DBA MIYO HEALTH)
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7808 W COLLEGE DR
PALOS HEIGHTS IL
60463-1027
US

IV. Provider business mailing address

7808 W COLLEGE DR
PALOS HEIGHTS IL
60463-1027
US

V. Phone/Fax

Practice location:
  • Phone: 937-313-5347
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LISA MOORE
Title or Position: SVP OPERATIONS
Credential:
Phone: 937-313-5347