Healthcare Provider Details

I. General information

NPI: 1316853161
Provider Name (Legal Business Name): MICHELLE L HOVEN LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

304 W MONDAMIN ST STE 104
MINOOKA IL
60447-4618
US

IV. Provider business mailing address

1135 ELDER RD
HOMEWOOD IL
60430-2419
US

V. Phone/Fax

Practice location:
  • Phone: 815-274-7308
  • Fax:
Mailing address:
  • Phone: 815-905-1024
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number178.023424
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: