Provider Demographics
NPI:1013488170
Name:HAPPY HUMAN, LLC
Entity type:Organization
Organization Name:HAPPY HUMAN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING, CREDENTIALING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:PENNWAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-409-5066
Mailing Address - Street 1:PO BOX 3591
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60522-3591
Mailing Address - Country:US
Mailing Address - Phone:630-447-9737
Mailing Address - Fax:
Practice Address - Street 1:825 N CASS AVE STE 109
Practice Address - Street 2:
Practice Address - City:WESTMONT
Practice Address - State:IL
Practice Address - Zip Code:60559-6401
Practice Address - Country:US
Practice Address - Phone:630-447-9737
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-16
Last Update Date:2018-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty