Provider Demographics
NPI:1093423949
Name:BILLUPS, MEGAN SHAYLYNN (MA, LPC)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:SHAYLYNN
Last Name:BILLUPS
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2909 L DON DODSON DR APT 1513
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76021-7954
Mailing Address - Country:US
Mailing Address - Phone:903-394-4044
Mailing Address - Fax:
Practice Address - Street 1:2909 L DON DODSON DR APT 1513
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76021-7954
Practice Address - Country:US
Practice Address - Phone:903-394-4044
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-09
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX84316101YP2500X, 101YM0800X, 101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)