Provider Demographics
NPI:1396991154
Name:O'NEIL, MARIE CECILIA (MS, LMHC)
Entity type:Individual
Prefix:MS
First Name:MARIE
Middle Name:CECILIA
Last Name:O'NEIL
Suffix:
Gender:F
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:CECILIA
Other - Middle Name:
Other - Last Name:O'NEIL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS, LMHC
Mailing Address - Street 1:50 MAIN ST STE 201
Mailing Address - Street 2:
Mailing Address - City:NORTH READING
Mailing Address - State:MA
Mailing Address - Zip Code:01864-2281
Mailing Address - Country:US
Mailing Address - Phone:978-664-0114
Mailing Address - Fax:978-824-8775
Practice Address - Street 1:50 MAIN ST STE 201
Practice Address - Street 2:
Practice Address - City:NORTH READING
Practice Address - State:MA
Practice Address - Zip Code:01864-2281
Practice Address - Country:US
Practice Address - Phone:978-664-0114
Practice Address - Fax:978-824-8775
Is Sole Proprietor?:No
Enumeration Date:2008-08-13
Last Update Date:2021-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
MA7457101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA7547OtherPROFESSIONAL LICENSE