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NPI Code Detail

MEDICARE: TEHUTI MENTORING AND COUNSELING SERVICES, INC

MEDICARE: TEHUTI MENTORING AND COUNSELING SERVICES, INC
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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1124984638
Entity Type Code : Organization
Provider Name (Legal Business Name) : TEHUTI MENTORING AND COUNSELING SERVICES, INC
Provider Business Mailing Address
First Line : 2158 45TH ST STE 539
Second Line :
City : HIGHLAND
State : IN
Zip : 46322-3742
Country : US
Telephone Number : 773-557-9611
Fax Number :
Provider Business Practice Location Address
First Line : 1918 N MENDELL ST STE 200
Second Line :
City : CHICAGO
State : IL
Zip : 60642-1282
Country : US
Telephone Number : 773-557-9611
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : SAADIQ BEY
Credential : LCSW, QIDP
Telephone Number : 773-557-9611
Provider Enumeration Date : 12/29/2025
Last Update Date : 01/01/2026

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Directions to “TEHUTI MENTORING AND COUNSELING SERVICES, INC ” Practice Location

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