Healthcare Provider Details

I. General information

NPI: 1376400861
Provider Name (Legal Business Name): STILLWATER COVE THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2026
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15W437 GRAND PL
ELMHURST IL
60126-1378
US

IV. Provider business mailing address

PO BOX 135
BENSENVILLE IL
60106-0135
US

V. Phone/Fax

Practice location:
  • Phone: 630-283-2994
  • Fax:
Mailing address:
  • Phone: 630-283-2994
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: MRS. MEAGAN C.M. RESTAINO
Title or Position: FOUNDER, OWNER, LICENSED THERAPIST
Credential: LCPC, NCC, CADC, PCG
Phone: 630-834-5377