Provider Demographics
NPI:1871228601
Name:MELINDA MCDONALD, LMFT PLLC
Entity type:Organization
Organization Name:MELINDA MCDONALD, LMFT PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MELINDA
Authorized Official - Middle Name:E
Authorized Official - Last Name:MCDONALD
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:773-750-3600
Mailing Address - Street 1:3501 N SOUTHPORT AVE UNIT 514
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-1475
Mailing Address - Country:US
Mailing Address - Phone:773-750-3600
Mailing Address - Fax:
Practice Address - Street 1:3501 N SOUTHPORT AVE UNIT 514
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-1475
Practice Address - Country:US
Practice Address - Phone:773-750-3600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-17
Last Update Date:2025-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty