Provider Demographics
NPI:1164029526
Name:YOHO, MEGHAN MARSANO (MA, LCMHCA)
Entity Type:Individual
Prefix:
First Name:MEGHAN
Middle Name:MARSANO
Last Name:YOHO
Suffix:
Gender:F
Credentials:MA, LCMHCA
Other - Prefix:
Other - First Name:MEGHAN
Other - Middle Name:JANIS
Other - Last Name:MARSANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3517 COTILLION AVE
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28210-6342
Mailing Address - Country:US
Mailing Address - Phone:704-453-5416
Mailing Address - Fax:
Practice Address - Street 1:6060 PIEDMONT ROW DR S STE 120
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28287-2801
Practice Address - Country:US
Practice Address - Phone:704-552-0116
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-07
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA15642101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health