Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Meredith Bolan Therapy, LLC

Organization Clinical Social Worker · NPI 1114596277

Meredith Bolan Therapy, LLC is a Clinical Social Worker 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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