Healthcare Provider Details

I. General information

NPI: 1487023198
Provider Name (Legal Business Name): MEGHAN MCCARVILLE M.A., AMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2015
Last Update Date: 04/08/2021
Certification Date: 04/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 S MICHIGAN AVE STE 2300
CHICAGO IL
60603-3357
US

IV. Provider business mailing address

5008 VERNON PARK PL
LISLE IL
60532-3508
US

V. Phone/Fax

Practice location:
  • Phone: 773-980-9499
  • Fax: 312-668-8578
Mailing address:
  • Phone: 815-955-5506
  • Fax: 312-668-8578

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: