Healthcare Provider Details

I. General information

NPI: 1326526286
Provider Name (Legal Business Name): MEGAN HENIFF LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/02/2018
Last Update Date: 01/25/2025
Certification Date: 01/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 EISENHOWER LN
LISLE IL
60532-2125
US

IV. Provider business mailing address

2948 ARTESIAN RD STE 112
NAPERVILLE IL
60564-8559
US

V. Phone/Fax

Practice location:
  • Phone: 630-428-7890
  • Fax:
Mailing address:
  • Phone: 630-428-7890
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number208.000583
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number166001375
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number166.001375
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: