Provider Demographics
NPI:1528546660
Name:MEGHAN MCCARVILLE LLC
Entity Type:Organization
Organization Name:MEGHAN MCCARVILLE LLC
Other - Org Name:HOLISTIC COUPLE AND FAMILY THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LMFT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MEGHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCARVILLE
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:773-980-9499
Mailing Address - Street 1:5008 VERNON PARK PL
Mailing Address - Street 2:
Mailing Address - City:LISLE
Mailing Address - State:IL
Mailing Address - Zip Code:60532-3508
Mailing Address - Country:US
Mailing Address - Phone:815-955-5506
Mailing Address - Fax:312-668-8578
Practice Address - Street 1:8 S MICHIGAN AVE STE 2300
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60603-3357
Practice Address - Country:US
Practice Address - Phone:773-980-9499
Practice Address - Fax:312-668-8578
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-31
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
IL166.001205251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty