Healthcare Provider Details
I. General information
NPI: 1710711411
Provider Name (Legal Business Name): TALK TO WES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/27/2024
Last Update Date: 10/13/2025
Certification Date: 10/13/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8206 PIERS DR APT 1204
WOODRIDGE IL
60517-4355
US
IV. Provider business mailing address
8206 PIERS DR. APT 1204
WOODRIDGE IL
60517-4355
US
V. Phone/Fax
- Phone: 708-928-2253
- Fax:
- Phone: 630-822-3917
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TC1900X |
| Taxonomy | Counseling Psychologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
OLIMPIA
W
WESLEY
Title or Position: OWNER
Credential: MA
Phone: 630-822-3917