Provider Demographics
NPI:1164871836
Name:GARCIA, MEGAN (LPC)
Entity Type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:
Last Name:GARCIA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4209 W SHAMROCK LN UNIT C
Mailing Address - Street 2:
Mailing Address - City:MCHENRY
Mailing Address - State:IL
Mailing Address - Zip Code:60050-8700
Mailing Address - Country:US
Mailing Address - Phone:815-344-9443
Mailing Address - Fax:815-344-9445
Practice Address - Street 1:4209 W SHAMROCK LN UNIT C
Practice Address - Street 2:
Practice Address - City:MCHENRY
Practice Address - State:IL
Practice Address - Zip Code:60050-8700
Practice Address - Country:US
Practice Address - Phone:815-344-9443
Practice Address - Fax:815-344-9445
Is Sole Proprietor?:No
Enumeration Date:2016-06-03
Last Update Date:2021-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103K00000X
IL178017168101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst