MEDICARE: MCGILL COUNSELING, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1316545296
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MCGILL COUNSELING, LLC

Provider Business Mailing Address
First Line	:	2506 GALEN DR STE 108
Second Line	:
City	:	CHAMPAIGN
State	:	IL
Zip	:	61821-7047
Country	:	US
Telephone Number	:	217-531-2788
Fax Number	:	217-531-2788

Provider Business Practice Location Address
First Line	:	2506 GALEN DR
Second Line	:
City	:	CHAMPAIGN
State	:	IL
Zip	:	61821-7046
Country	:	US
Telephone Number	:	217-722-9733
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	HEIDI MCGILL
Credential	:
Telephone Number	:	217-722-9733

Provider Enumeration Date	:	10/13/2020
Last Update Date	:	05/09/2022

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Directions to “MCGILL COUNSELING, LLC ” Practice Location

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