Provider Demographics
NPI:1821491960
Name:ENLIGHTENED WORDS
Entity type:Organization
Organization Name:ENLIGHTENED WORDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:LATOYA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRAGG
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:708-691-7272
Mailing Address - Street 1:24382 PATRIOT LN
Mailing Address - Street 2:
Mailing Address - City:CRETE
Mailing Address - State:IL
Mailing Address - Zip Code:60417-2075
Mailing Address - Country:US
Mailing Address - Phone:708-691-7272
Mailing Address - Fax:
Practice Address - Street 1:515 CASS ST # 73
Practice Address - Street 2:
Practice Address - City:CRETE
Practice Address - State:IL
Practice Address - Zip Code:60417-2820
Practice Address - Country:US
Practice Address - Phone:708-414-0388
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-03
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X
IL178010247310500000X, 320800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes310500000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Mental Illness
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness