Individual
MS. PRISCILLA TANISHIA HULEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
9445 INDIANAPOLIS BLVD # 1212, HIGHLAND, IN 46322-2648
(708) 227-4080
Mailing address
1409 N GLENWOOD AVE APT 0E, GRIFFITH, IN 46319-1964
(708) 227-7098
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
39004253A
IN
101YP2500X
Professional Counselor
Primary
180014220
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39004253A
MENTAL HEALTH COUNSELOR LICENSE
IN
Enumeration date
09/14/2020
Last updated
02/03/2025
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