Provider Demographics
NPI:1124590807
Name:MCCARTY, MEGAN COLLEEN (MFT)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:COLLEEN
Last Name:MCCARTY
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8134 NEW LAGRANGE ROAD
Mailing Address - Street 2:SUITE 227
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40222-4673
Mailing Address - Country:US
Mailing Address - Phone:512-940-0747
Mailing Address - Fax:
Practice Address - Street 1:8134 NEW LAGRANGE ROAD
Practice Address - Street 2:SUITE 227
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40222-4673
Practice Address - Country:US
Practice Address - Phone:512-940-0747
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-19
Last Update Date:2018-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY245188101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor