Organization
BLYSSS BEHAVIORAL HEALTH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CORY R WILLLIAMS DNP (MANAGING PARTNER)
(844) 425-9777
Entity
Organization
Contact information
Practice address
9415 S WESTERN AVE # 206, CHICAGO, IL 60643-6700
(708) 941-7448
Mailing address
900 W SUNSET DR APT 613, GLENWOOD, IL 60425-1159
(844) 425-9777
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/05/2024
Last updated
09/23/2024
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