Provider Demographics
NPI:1992055784
Name:WHEELHOUSE, MARGARET MARY (MA, LPC, NCC)
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:MARY
Last Name:WHEELHOUSE
Suffix:
Gender:F
Credentials:MA, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:725 W WOODLAND AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:62704-2836
Mailing Address - Country:US
Mailing Address - Phone:217-525-8185
Mailing Address - Fax:
Practice Address - Street 1:1835 E WALNUT ST
Practice Address - Street 2:
Practice Address - City:CHATHAM
Practice Address - State:IL
Practice Address - Zip Code:62629-1578
Practice Address - Country:US
Practice Address - Phone:217-483-1224
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-19
Last Update Date:2012-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.008444101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional