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KEZIA ODAMTTEN MANTEY
NPI 1780537506
Counselor - Addiction (Substance Use Disorder) in Waukegan, IL

Active since February 19, 2026
3002 GRAND AVE, WAUKEGAN, IL 60085(847) 377-8200(847) 984-5676 Get Directions Write a Review

NPPES record last updated: February 19, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kezia Odamtten Mantey NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEZIA ODAMTTEN MANTEY (NPI 1780537506) is an individual addiction (substance use disorder) provider in Waukegan, Illinois and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1780537506
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKEZIA ODAMTTEN MANTEY
Location Address3002 GRAND AVEWaukegan, IL 60085-2321
Mailing Address3002 Grand AveWaukegan, IL 60085-2321 · (847) 377-8200 · Fax (847) 984-5676
Phone(847) 377-8200
Fax(847) 984-5676
Sole ProprietorNo
Enumeration DateFebruary 19, 2026
NPPES CertifiedFebruary 19, 2026
✔ NPI 1780537506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
3002 GRAND AVE, Waukegan, IL 60085
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ATHENA RATILLA
Counselor (Addiction (Substance Use Disorder))
3002 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8200
OLIVER JADEN SANCHEZ MHP, EMT
Counselor
3002 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8000
JONI GEER SELL
Registered Nurse
3002 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8200
SUNITA GROVER
Registered Nurse
3002 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8200
KATHERINE BERGSTROM MHP
Counselor (Mental Health)
3002 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8088
MICHAEL SWEENEY
Counselor (Addiction (Substance Use Disorder))
3002 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8200
ANGIE STEFANI
Counselor (Mental Health)
3002 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8246
MARIAM SALEH
Counselor (Mental Health)
3002 GRAND AVE
WAUKEGAN, IL 60085
Lake County (224) 237-7164

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kezia Odamtten Mantey's NPI number?

The NPI number for Kezia Odamtten Mantey is 1780537506. It was assigned to this individual provider in the NPPES registry on February 19, 2026.

Where is Kezia Odamtten Mantey located?

Kezia Odamtten Mantey practices at 3002 Grand Ave, Waukegan, IL 60085. The listed phone number is (847) 377-8200.

What is Kezia Odamtten Mantey's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kezia Odamtten Mantey was last updated on February 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.