Healthcare Provider Details

I. General information

NPI: 1245940899
Provider Name (Legal Business Name): MELISSA DOWNEY LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/05/2022
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 PYOTT RD STE 105
LAKE IN THE HILLS IL
60156-9795
US

IV. Provider business mailing address

1301 PYOTT RD STE 105
LAKE IN THE HILLS IL
60156-9795
US

V. Phone/Fax

Practice location:
  • Phone: 888-428-7890
  • Fax:
Mailing address:
  • Phone: 884-428-7890
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number178018738
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: