Provider Demographics
NPI:1144772245
Name:KORST, MEGAN NICOLE (MS, LMHC)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:NICOLE
Last Name:KORST
Suffix:
Gender:F
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 S FREYA ST STE 125A
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99202-4881
Mailing Address - Country:US
Mailing Address - Phone:509-904-5230
Mailing Address - Fax:509-554-5567
Practice Address - Street 1:104 S FREYA ST STE 125A
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99202-4881
Practice Address - Country:US
Practice Address - Phone:509-904-5230
Practice Address - Fax:509-554-5567
Is Sole Proprietor?:No
Enumeration Date:2016-10-25
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60701057101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health