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Organization
JUST A MILE AWAY MENTAL HEALTH SERVICES INC.
Active
Organization
JUST A MILE AWAY MENTAL HEALTH SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TATIANA LANE (CEO)
(708) 775-2825
Entity
Organization
Contact information
Practice address
1440 W. TAYLOR ST, CHICAGO, IL 60607-0000
(708) 775-2825
Mailing address
PO BOX 440312, CHICAGO, IL 60644-0306
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
03/20/2023
Last updated
07/23/2025
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