Provider Demographics
NPI:1972907004
Name:HANDLEY, MEGAN (MA, LPCP, LMHCA)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:HANDLEY
Suffix:
Gender:F
Credentials:MA, LPCP, LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2950 W CHICAGO AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60622-4377
Mailing Address - Country:US
Mailing Address - Phone:773-340-9096
Mailing Address - Fax:
Practice Address - Street 1:2950 W CHICAGO AVE STE 202
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60622-4377
Practice Address - Country:US
Practice Address - Phone:773-340-9096
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-17
Last Update Date:2020-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.013064101YM0800X
WAMC60489965101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health