Provider Demographics
NPI:1134556525
Name:GALLAGHER, MEGAN (MS, CRC)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:GALLAGHER
Suffix:
Gender:F
Credentials:MS, CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 E CONGRESS PKWY # 111
Mailing Address - Street 2:
Mailing Address - City:CRYSTAL LAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60014-6286
Mailing Address - Country:US
Mailing Address - Phone:813-326-7937
Mailing Address - Fax:888-385-9066
Practice Address - Street 1:1643 WARWICK AVE UNIT 420
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02889-1525
Practice Address - Country:US
Practice Address - Phone:813-326-7937
Practice Address - Fax:888-385-9066
Is Sole Proprietor?:No
Enumeration Date:2013-10-01
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health