Provider Demographics
NPI:1023152550
Name:OVERBEY, CARRIE JEANNE (LCPC)
Entity type:Individual
Prefix:MISS
First Name:CARRIE
Middle Name:JEANNE
Last Name:OVERBEY
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7053
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60204-7053
Mailing Address - Country:US
Mailing Address - Phone:773-931-5678
Mailing Address - Fax:
Practice Address - Street 1:850 N MILWAUKEE AVE
Practice Address - Street 2:204
Practice Address - City:VERNON HILLS
Practice Address - State:IL
Practice Address - Zip Code:60061-1553
Practice Address - Country:US
Practice Address - Phone:773-931-5678
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional