Provider Demographics
NPI:1447329107
Name:MCCUE, BENAY ALAYNE (LCPC)
Entity type:Individual
Prefix:MRS
First Name:BENAY
Middle Name:ALAYNE
Last Name:MCCUE
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:850 MAIN ST NW UNIT 834
Mailing Address - Street 2:
Mailing Address - City:BOURBONNAIS
Mailing Address - State:IL
Mailing Address - Zip Code:60914-6031
Mailing Address - Country:US
Mailing Address - Phone:815-933-2533
Mailing Address - Fax:217-203-4284
Practice Address - Street 1:850 MAIN ST NW UNIT 834
Practice Address - Street 2:
Practice Address - City:BOURBONNAIS
Practice Address - State:IL
Practice Address - Zip Code:60914-6031
Practice Address - Country:US
Practice Address - Phone:815-933-2533
Practice Address - Fax:217-203-4284
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2024-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180-003967101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional