DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MS. JADE R BRYANT-MOORE LPC

MEDICARE: MS. JADE R BRYANT-MOORE LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1104764232
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JADE R BRYANT-MOORE LPC
Provider Business Mailing Address
First Line : 329 N GENESEE ST
Second Line :
City : WAUKEGAN
State : IL
Zip : 60085-4205
Country : US
Telephone Number : 847-623-1730
Fax Number : 847-623-1733
Provider Business Practice Location Address
First Line : 333 N MICHIGAN AVE STE 1400
Second Line :
City : CHICAGO
State : IL
Zip : 60601-4011
Country : US
Telephone Number : 312-815-9660
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2026
Last Update Date : 05/27/2026

Similar Medicare Providers

1326775032 — PAW SAY KU LCPC
Practice Location Address:
333 N MICHIGAN AVE STE 1400
CHICAGO, IL
60601-4011
Practice Phone: 312-815-9660
Practice Fax:
1982534236 — HANNAH WADSWORTH BA
Practice Location Address:
333 N MICHIGAN AVE STE 1400
CHICAGO, IL
60601-4011
Practice Phone: 312-815-9660
Practice Fax: 312-235-1999
1699605840 — CAROLINE MEIS
Practice Location Address:
333 N MICHIGAN AVE STE 1400
CHICAGO, IL
60601-4011
Practice Phone: 312-815-9660
Practice Fax:
1518804947 — DELANEY COLEMAN
Practice Location Address:
333 N MICHIGAN AVE STE 1400
CHICAGO, IL
60601-4011
Practice Phone: 312-815-9660
Practice Fax:
1437037314 — GRACE HAIDLE
Practice Location Address:
333 N MICHIGAN AVE STE 1400
CHICAGO, IL
60601-4011
Practice Phone: 312-815-9660
Practice Fax: 312-235-1999
1659668440 — DR. PAVAN YARLAGADDARAGHU PRASAD MD
Practice Location Address:
333 N MICHIGAN AVE STE 1400
CHICAGO, IL
60601-4011
Practice Phone: 312-815-9660
Practice Fax:

Directions to “ MS. JADE R BRYANT-MOORE LPC” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.