Organization
DANIEL TALLEY THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL TALLEY LCSW (THERAPIST)
(901) 462-1806
Entity
Organization
Contact information
Practice address
1010 LAKE ST STE 216, OAK PARK, IL 60301-1147
(901) 462-1806
Mailing address
1412 GUNDERSON AVE, BERWYN, IL 60402-1153
(901) 462-1806
(262) 586-6704
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/15/2025
Last updated
02/04/2026
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