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NPI 1992502587

NPI 1992502587 : MEGAN BRADY COUNSELING, PLLC : PARK RIDGE, IL

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General NPI Number Information
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    NPI Number           |    1992502587
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    Entity Type          |    Organization 
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    Legal Business Name  |    MEGAN BRADY COUNSELING, PLLC 
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Dates
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    Enumeration Date     |    02/28/2025
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    Last Update Date     |    10/08/2025
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Provider Practice Location Address
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    Address Line         |    422 N NORTHWEST HWY STE B1 
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    City                 |    PARK RIDGE
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    State                |    IL
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    Zip                  |    60068-3272
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    Country              |    US
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    Telephone            |    847-238-2425
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    422 N NORTHWEST HWY STE B1 
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    City                 |    PARK RIDGE
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    State                |    IL
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    Zip                  |    60068-3272
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    Country              |    US
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    Telephone            |    847-238-2425
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     MEGAN M BRADY 
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    Credential           |    LCPC, ATR-BC
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    Telephone            |    630-738-9258
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    
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    License Number State |    
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