Provider Demographics
NPI:1851882443
Name:MCCARTHY COUNSELING GROUP PC
Entity Type:Organization
Organization Name:MCCARTHY COUNSELING GROUP PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:GORMAN
Authorized Official - Last Name:MCCARTHY
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:248-930-1218
Mailing Address - Street 1:30 N MICHIGAN AVE STE 1316
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60602-3718
Mailing Address - Country:US
Mailing Address - Phone:248-930-1218
Mailing Address - Fax:
Practice Address - Street 1:30 N MICHIGAN AVE STE 1316
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-3718
Practice Address - Country:US
Practice Address - Phone:248-930-1218
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-20
Last Update Date:2018-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty