Provider Demographics
NPI:1629837927
Name:WHOLEHEARTED THERAPY PLLC
Entity Type:Organization
Organization Name:WHOLEHEARTED THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:708-232-3273
Mailing Address - Street 1:2118 PLUM GROVE RD # 156
Mailing Address - Street 2:
Mailing Address - City:ROLLING MEADOWS
Mailing Address - State:IL
Mailing Address - Zip Code:60008-1932
Mailing Address - Country:US
Mailing Address - Phone:708-232-3273
Mailing Address - Fax:773-439-5278
Practice Address - Street 1:247 W PALATINE RD UNIT 1
Practice Address - Street 2:
Practice Address - City:PALATINE
Practice Address - State:IL
Practice Address - Zip Code:60067-5105
Practice Address - Country:US
Practice Address - Phone:708-232-3273
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-18
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical