Provider Demographics
NPI:1134883945
Name:MCPHEE-JOHNSTON, HALLIE ANN (LPC)
Entity type:Individual
Prefix:MS
First Name:HALLIE
Middle Name:ANN
Last Name:MCPHEE-JOHNSTON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3018 GUILFORD RD
Mailing Address - Street 2:
Mailing Address - City:ROCKFORD
Mailing Address - State:IL
Mailing Address - Zip Code:61107-3406
Mailing Address - Country:US
Mailing Address - Phone:815-516-6265
Mailing Address - Fax:
Practice Address - Street 1:921 CURTISS ST
Practice Address - Street 2:
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60515-5062
Practice Address - Country:US
Practice Address - Phone:815-516-6265
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-27
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.017293101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health