MEDICARE: LISA M. GALLAGHER LCPC, PLLC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1780327205
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LISA M. GALLAGHER LCPC, PLLC.

Provider Business Mailing Address
First Line	:	3905 W NICHOLS RD
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60004-1388
Country	:	US
Telephone Number	:	224-805-6817
Fax Number	:

Provider Business Practice Location Address
First Line	:	3205 N WILKE RD STE 116
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60004-0001
Country	:	US
Telephone Number	:	224-805-6817
Fax Number	:

Authorized Official
Title or Position	:	THERAPIST
Name	:	LISA M GALLAGHER
Credential	:	LCPC
Telephone Number	:	224-805-6817

Provider Enumeration Date	:	04/14/2022
Last Update Date	:	01/19/2026

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