Provider Demographics
NPI:1538603816
Name:MAYS, MICHAEL J (LCPC)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:J
Last Name:MAYS
Suffix:
Gender:M
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1651 N ORCHARD ST APT 106
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-5398
Mailing Address - Country:US
Mailing Address - Phone:773-354-0158
Mailing Address - Fax:
Practice Address - Street 1:333 N MICHIGAN AVE STE 1828
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60601-4108
Practice Address - Country:US
Practice Address - Phone:773-354-0158
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-06
Last Update Date:2020-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.012419101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health