Provider Demographics
NPI:1689201394
Name:MCGLOIN, EMILIA T (LMHC)
Entity type:Individual
Prefix:
First Name:EMILIA
Middle Name:T
Last Name:MCGLOIN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:EMILIA
Other - Middle Name:T
Other - Last Name:MCGLOIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMHC
Mailing Address - Street 1:2055 STRAIGHT FORK ZEKES BRANCH RD
Mailing Address - Street 2:
Mailing Address - City:BOONEVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41314-7434
Mailing Address - Country:US
Mailing Address - Phone:646-263-1022
Mailing Address - Fax:
Practice Address - Street 1:2055 STRAIGHT FORK ZEKES BRANCH RD
Practice Address - Street 2:
Practice Address - City:BOONEVILLE
Practice Address - State:KY
Practice Address - Zip Code:41314-7434
Practice Address - Country:US
Practice Address - Phone:646-263-1022
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-24
Last Update Date:2024-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012824-01101YM0800X
0704007458101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health