Organization
BRAINTIQUE LLC
Active
Other names
Braintique
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAYNE DENISE STAMBAUGH PMHNP-BC (OWNER)
(309) 648-9216
Entity
Organization
Contact information
Practice address
8 S MAIN ST STE 201, CANTON, IL 61520-2680
(309) 648-9216
Mailing address
8 S MAIN ST STE 201, CANTON, IL 61520-2680
(309) 648-9216
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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