Provider Demographics
NPI:1063967214
Name:LORIER, MEGHAN (LPC)
Entity type:Individual
Prefix:
First Name:MEGHAN
Middle Name:
Last Name:LORIER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:817 COLLEGE AVE
Mailing Address - Street 2:APARTMENT 16
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60187-4351
Mailing Address - Country:US
Mailing Address - Phone:630-779-2836
Mailing Address - Fax:
Practice Address - Street 1:817 COLLEGE AVE
Practice Address - Street 2:APARTMENT 16
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60187-4351
Practice Address - Country:US
Practice Address - Phone:630-779-2836
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-17
Last Update Date:2016-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178012206101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional