MEDICARE: HYKELYFE, PLLC

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
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1588342430
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HYKELYFE, PLLC

Provider Business Mailing Address
First Line	:	7330 W COLLEGE DR STE 206
Second Line	:
City	:	PALOS HEIGHTS
State	:	IL
Zip	:	60463-1184
Country	:	US
Telephone Number	:	708-480-2066
Fax Number	:

Provider Business Practice Location Address
First Line	:	7330 W COLLEGE DR STE 206
Second Line	:
City	:	PALOS HEIGHTS
State	:	IL
Zip	:	60463-1184
Country	:	US
Telephone Number	:	708-480-2066
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	BRITTANY STEVENSON
Credential	:	MA, LCPC
Telephone Number	:	708-480-2766

Provider Enumeration Date	:	07/10/2023
Last Update Date	:	07/10/2023

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