Provider Demographics
NPI:1730378837
Name:REITZ, MEGHAN LEIGH (MA LCPC, NCC)
Entity type:Individual
Prefix:MRS
First Name:MEGHAN
Middle Name:LEIGH
Last Name:REITZ
Suffix:
Gender:F
Credentials:MA LCPC, NCC
Other - Prefix:MISS
Other - First Name:MEGHAN
Other - Middle Name:LEIGH
Other - Last Name:HASSELBERG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA LCPC, NCC
Mailing Address - Street 1:1101 PERIMETER DR
Mailing Address - Street 2:STE. 450
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60173-5844
Mailing Address - Country:US
Mailing Address - Phone:847-220-7402
Mailing Address - Fax:
Practice Address - Street 1:1101 PERIMETER DR
Practice Address - Street 2:STE. 450
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173-5844
Practice Address - Country:US
Practice Address - Phone:847-220-7402
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-15
Last Update Date:2013-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X
IL180006265101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional