Healthcare Provider Details

I. General information

NPI: 1366354771
Provider Name (Legal Business Name): STEPHANIE CATHRYN ONEIL LPC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 E LINCOLN HWY STE 104
NEW LENOX IL
60451-1993
US

IV. Provider business mailing address

17803 FIELDSTONE LN
LOWELL IN
46356-0078
US

V. Phone/Fax

Practice location:
  • Phone: 815-570-9303
  • Fax: 866-950-9427
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number178020448
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: