Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Meredith Bolan Therapy, LLC

Organization Clinical Social Worker · NPI 1114596277

Meredith Bolan Therapy, LLC provides Clinical Social Worker services in LA Grange, Illinois. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

82 S La Grange Rd Ste 210
LA Grange, IL 60525-6348
Phone: (630) 446-0407
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1114596277
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Meredith Bolan — Owner · (708) 528-5374
NPI enumeratedJune 23, 2021
Last updated in NPPESJune 23, 2021
Certification dateJune 23, 2021
Mailing address920 N Spring Ave, La Grange Park, IL 60526-1477

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