Provider Demographics
NPI:1073027280
Name:MEGAN O'BRIEN COUNSELING, LLC
Entity Type:Organization
Organization Name:MEGAN O'BRIEN COUNSELING, LLC
Other - Org Name:ROOT TO RISE COUNSELING AND CONSULTING PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:O'BRIEN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:801-871-5468
Mailing Address - Street 1:177 N H ST
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84103-2978
Mailing Address - Country:US
Mailing Address - Phone:801-871-5468
Mailing Address - Fax:
Practice Address - Street 1:970 WEST BROADWAY AVENUE, SUITE 212B3
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:WY
Practice Address - Zip Code:83001
Practice Address - Country:US
Practice Address - Phone:208-243-8507
Practice Address - Fax:307-460-7416
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-27
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID369761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty