Braintique LLC

NPI #1497587257 in Canton, Illinois

Provider Information

NPI Number: 1497587257
Entity Type: Organization
Organization Name: Braintique LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Aug 19, 2024
Last Updated: Aug 19, 2024

Practice Location

Address: 8 S MAIN ST STE 201
City: Canton
State: Illinois
ZIP Code: 61520-2680
Phone: (309) 648-9216

Authorized Official

Name: MS. LAYNE DENISE STAMBAUGH, PMHNP-BC
Title: OWNER
Phone: (309) 648-9216

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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